Individual
EMILY HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 S TAYLOR AVE, ST. LOUIS, MO 63110
(618) 401-6984
Mailing address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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