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Organization

EUREKA PLAY THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WENDY VELICER LPC (OWNER)
(314) 467-0556
Entity
Organization

Contact information

Practice address
208 N CENTRAL AVE STE D, EUREKA, MO 63025-1850
(314) 467-0556
Mailing address
208 N CENTRAL AVE STE D, EUREKA, MO 63025-1850
(314) 467-0556

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
11/05/2020
Last updated
11/05/2020
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