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Individual

DR. EDWIN STANLEY HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4231 LACLEDE AVE, SAINT LOUIS, MO 63108-2814
(314) 652-3888
(314) 289-9983
Mailing address
4231 LACLEDE AVE, SAINT LOUIS, MO 63108-2814
(314) 652-3888
(314) 289-9983

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
181
MO

Other

Enumeration date
07/11/2011
Last updated
07/11/2011
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