Individual
LEAMBRIAL RAYETTE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3165 MCKELVEY RD, 200, BRIDGETON, MO 63044-2550
(314) 206-3900
(314) 206-3992
Mailing address
3165 MCKELVEY RD, 200, BRIDGETON, MO 63044-2550
(314) 206-3900
(314) 206-3992
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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