Individual
EDWARD FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5261 DELMAR BLVD, SUITE 214, SAINT LOUIS, MO 63108-1063
(314) 497-6617
(314) 454-5715
Mailing address
4024 WYOMING ST, SAINT LOUIS, MO 63116-3920
(314) 378-0290
(314) 454-5715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2014000915
MO
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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