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Individual

DEBORAH E SWEET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
12509 VILLAGE CIRCLE DR, SAINT LOUIS, MO 63127-1701
(314) 270-7790
(314) 849-2045
Mailing address
108 HAWTHORNE PL, COLUMBIA, IL 62236-1029
(618) 978-3440

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2005012036
MO

Other

Enumeration date
07/18/2007
Last updated
07/18/2007
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