Individual
PHYLICIA POINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 BAUR BLVD, OLIVETTE, MO 63132-1903
(314) 528-9509
Mailing address
531 GRAF AVE, SAINT LOUIS, MO 63135-2528
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
W204361009
MO
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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