Individual
MELODY TAMAKLOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
1654 BRYAN RD, O FALLON, MO 63368-4897
(636) 344-0433
(636) 410-3336
Mailing address
1654 BRYAN RD, O FALLON, MO 63368-4897
(636) 344-0433
(636) 410-3336
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022040807
MO
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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