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Individual

DEBORAH S. SCALLORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC, CRC

Contact information

Practice address
711 OLD BALLAS RD, SAINT LOUIS, MO 63141-7051
(314) 569-2253
Mailing address
2352 GROSS POINT LN, WILDWOOD, MO 63011-1809

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015039993
MO

Other

Enumeration date
09/19/2017
Last updated
09/19/2017
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