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Individual

MONTRICE M HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLPC

Contact information

Practice address
500 MEDICAL DR., CENTRAL INTAKE, WENTZVILLE, MO 63385
(314) 344-6700
Mailing address
339 CHALMETTE DR, HAZELWOOD, MO 63042-3532
(314) 518-2273

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/14/2019
Last updated
01/14/2019
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