Individual
MRS. REBECCA BAUM RAINBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12210 CLAYTON RD, SAINT LOUIS, MO 63131
(314) 989-8100
Mailing address
12210 CLAYTON ROAD, TOWN & COUNTY, MO 63131
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
2003000405
MO
Other
Enumeration date
09/16/2015
Last updated
01/25/2017
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