Individual
IESHA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7251 OLIVE BLVD, SAINT LOUIS, MO 63130-2322
(314) 749-7618
(314) 862-6155
Mailing address
7251 OLIVE BLVD, SAINT LOUIS, MO 63130-2322
(314) 749-7618
(314) 862-6155
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
MO
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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