Individual
MARK CHARPENTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
112 CHESTERFIELD COMMONS RD E, CHESTERFIELD, MO 63005-1440
(636) 532-0705
(636) 532-0012
Mailing address
112 CHESTERFIELD COMMONS RD E, CHESTERFIELD, MO 63005-1440
(636) 532-0705
(636) 532-0012
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
04/05/2021
Last updated
04/22/2021
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