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Individual

MS. MELANIE GOWDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
9451 LACKLAND RD, SUITE 201, SAINT LOUIS, MO 63114-3627
(314) 438-0811
(314) 438-0822
Mailing address
PO BOX 142373, SAINT LOUIS, MO 63114-0373
(314) 438-0811
(314) 438-0822

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0013649
MO
Enumeration date
01/30/2016
Last updated
01/30/2016
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