Individual
DESIRAE D PEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 S GLENSTONE AVE, SPRINGFIELD, MO 65804-0313
(636) 224-1210
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021009169
MO
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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