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Individual

BETH A REESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC , LCSW

Contact information

Practice address
8240 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114-4508
(314) 427-3755
(314) 426-0764
Mailing address
8240 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114-4508
(314) 427-3755
(314) 426-0764

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
000830
MO
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
001958
MO

Other

Enumeration date
09/25/2007
Last updated
09/25/2007
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