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Individual

TRACI R DOUTRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NBC-HWC

Contact information

Practice address
1 JEFFERSON BARRACKS RD, WHOLE HEALTH DEPARTMENT, ST LOUIS, MO 63125
(314) 652-4100
Mailing address
1 JEFFERSON BARRACKS RD, WHOLE HEALTH DEPARTMENT, ST LOUIS, MO 63125
(314) 652-4100

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3635420
MO

Other

Enumeration date
09/22/2023
Last updated
09/22/2023
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