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Individual

EMMA GRACE JANEWAY CLINKINGBEARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
222 S MERAMEC AVE STE 202, SAINT LOUIS, MO 63105-3514
(719) 440-8794
Mailing address
6510 NASHVILLE AVE, SAINT LOUIS, MO 63139-3427
(719) 440-8794

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2019028506
MO
133V00000X
Registered Dietitian
2700
KS

Other

Enumeration date
03/15/2022
Last updated
03/15/2022
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