Individual
EMILY WILSON LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1000 EXECUTIVE PARKWAY DR STE 106, CREVE COEUR, MO 63141-6369
(314) 469-5522
(314) 469-5504
Mailing address
6411 CLAYTON RD APT 2W, CLAYTON, MO 63117-1860
(704) 775-6628
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2024034637
MO
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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