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Individual

JAMES WALSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
567 MADISON ST, SAINT CHARLES, MO 63301-2747
(314) 680-4293
Mailing address
3201 TALLY HO DR, SAINT CHARLES, MO 63301-0026
(314) 680-4293

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/19/2013
Last updated
12/19/2013
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