Individual
JANISE GILDEHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E SPRINGFIELD AVE STE 202, UNION, MO 63084-1818
(362) 221-4916
Mailing address
102 E SPRINGFIELD AVE STE 202, UNION, MO 63084-1818
(362) 221-4916
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MO
Other
Enumeration date
03/23/2019
Last updated
03/23/2019
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