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Organization

MIRIAM LEARNING CENTER

Active
Parent organization
MIRIAM FOUNDATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
MIRIAM FOUNDATION
Authorized official
MR. ANDREW TODD THORP (EXECUTIVE DIRECTOR)
(314) 962-6059
Entity
Organization

Contact information

Practice address
501 BACON AVE, WEBSTER GROVES, MO 63119-1512
(314) 961-1500
(314) 968-7338
Mailing address
501 BACON AVE, WEBSTER GROVES, MO 63119-1512
(314) 961-1500
(314) 968-7338

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
224Z00000X
Occupational Therapy Assistant
225A00000X
Music Therapist
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
10/14/2008
Last updated
10/14/2008
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