Individual
MS. WONAKEE TERRISITA ROBINSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5950 DRURY LN, SAINT LOUIS, MO 63147-1112
(314) 269-7099
Mailing address
5950 DRURY LN, SAINT LOUIS, MO 63147-1112
(314) 269-7099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
123898
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MO
46678898
MO
Enumeration date
03/21/2019
Last updated
03/21/2019
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