Individual
LAUREN MICHEL MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4485 WESTMINSTER PL, SAINT LOUIS, MO 63108-1812
(314) 956-0101
Mailing address
3111 PORTIS AVE APT 1N, SAINT LOUIS, MO 63116-2031
(217) 816-2693
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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