Individual
MS. STACEY LYNN EDERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6617 E YORKSHIRE DR, SAINT LOUIS, MO 63123-1521
(314) 402-4677
Mailing address
6617 E YORKSHIRE DR, SAINT LOUIS, MO 63123-1521
(314) 402-4677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2010028186
MO
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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