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Individual

MS. MICHELLE L BECKTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2612 WYOMING ST, SAINT LOUIS, MO 63118-2402
(314) 338-8172
(314) 338-7455
Mailing address
2612 WYOMING ST, SAINT LOUIS, MO 63118-2402
(314) 338-8172
(314) 338-7455

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/02/2022
Last updated
06/02/2022
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