Individual
JULIE A LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3165 MCKELVEY RD STE 200, BRIDGETON, MO 63044-2550
(314) 206-3900
Mailing address
3165 MCKELVEY RD STE 200, BRIDGETON, MO 63044-2550
(314) 206-3900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178006807
IL
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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