Individual
MISS REGINA TAMICA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10010 S EXECUTIVE DR APT 10, SAINT ANN, MO 63074-1374
(314) 970-7257
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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