Individual
TOMERO FREDALE MCCLENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4647 HEIDELBERG AVE, SAINT LOUIS, MO 63123-5822
(573) 620-0976
Mailing address
4647 HEIDELBERG AVE, SAINT LOUIS, MO 63123-5822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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