Individual
DEONDRA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6428 BROCKSCHMIDT PL, SAINT LOUIS, MO 63139-3402
(314) 546-1465
Mailing address
6428 BROCKSCHMIDT PL, SAINT LOUIS, MO 63139-3402
(314) 546-1465
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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