Individual
SANDRA MICHELLE FELDEWERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2417
(314) 715-3855
Mailing address
17119 PIKE 135, LOUISIANA, MO 63353-3500
(574) 754-2675
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2013045011
MO
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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