Individual
GRACIE SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
9374 OLIVE BLVD, SAINT LOUIS, MO 63132-3267
(314) 932-2402
Mailing address
330 UPPER CONWAY ESTATES CT, SAINT LOUIS, MO 63141-8515
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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