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Search › Missouri › 101YP2500X

Elijah Green

NPI 1912791427 · on the registry since 2025 · sole proprietor

Practice

Address
330 N Gore Ave
Webster Groves, MO 63119
Phone
(844) 424-3577
Organisation at this address
Slph, Llc
Edgewood Children'S Hom'E
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri