Individual
MS. OPHELIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6121 N HANLEY RD, BERKELEY, MO 63134-2003
(314) 615-6452
(314) 615-6832
Mailing address
6121 N HANLEY RD, BERKELEY, MO 63134-2003
(314) 615-6452
(314) 615-6832
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
SE106
MO
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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