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Individual

JULIE SNIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
321 COPPER TREE CT, O FALLON, MO 63368-6339
(636) 265-0407
Mailing address
321 COPPER TREE CT, O FALLON, MO 63368-6339

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2011003611
MO
174400000X
Specialist

Other

Enumeration date
02/08/2011
Last updated
12/13/2011
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