Individual
MELANIE MAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
923 E TERRA LN STE A, O FALLON, MO 63366-2726
(314) 722-0505
Mailing address
308 BRADFORD ESTATES CT, ELLISVILLE, MO 63011-2331
(314) 722-0505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2022028927
MO
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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