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Organization
EARLY AUTISM SERVICES
Active
Organization
EARLY AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY WESSELS (EMPLOYEE ADMINISTRATOR)
(312) 914-0611
Entity
Organization
Contact information
Practice address
7049 PERSHING AVE, SAINT LOUIS, MO 63130-4319
(312) 914-0611
Mailing address
306 N KENSINGTON AVE, LA GRANGE PARK, IL 60526-1870
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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