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Organization

GOOD SHEPHERD SCHOOL FOR CHILDREN

Active
Other names
Good Shepherd Pediatric Therapy Services
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELIZABETH A ROSE LCSW (EXECUTIVE DIRECTOR)
(314) 469-0606
Entity
Organization

Contact information

Practice address
1170 TIMBER RUN DR, SAINT LOUIS, MO 63146-4482
(314) 469-0606
(314) 469-3294
Mailing address
1170 TIMBER RUN DR, SAINT LOUIS, MO 63146-4482
(314) 469-0606
(314) 469-3294

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
623876406
MO
Enumeration date
04/03/2007
Last updated
12/02/2010
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