Individual
MRS. SARA NICOLE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCSP
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
2624 BRECKENRIDGE CIR, O FALLON, MO 63368-6669
(618) 977-8331
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
NCSP
MO
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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