Individual
AUDREY SCHAULAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 S LEXINGTON ST STE 100, HARRISONVILLE, MO 64701-2444
(636) 362-4459
Mailing address
146 MAPLE ST, SHILOH, IL 62269-3606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2020010930
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020010930
LPC
MO
Enumeration date
04/12/2022
Last updated
04/12/2022
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