Individual
MRS. JO RUSSELL-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
5030 MCREE AVE, SAINT LOUIS, MO 63110-2046
(314) 776-1300
(314) 776-7808
Mailing address
5030 MCREE AVE, SAINT LOUIS, MO 63110-2046
(314) 776-1300
(314) 776-7808
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
JR50930198P
IL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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