Individual
ROBYN NICOLE MORTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.D.E
Contact information
Practice address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
(314) 977-0132
Mailing address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
(314) 977-0132
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
M63573484938
IL
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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