Individual
SHERRY LANEE SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
3256 S BIG BEND BLVD, MAPLEWOOD, MO 63143-3904
(314) 780-1657
Mailing address
3256 S BIG BEND BLVD, MAPLEWOOD, MO 63143-3904
(314) 780-1657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024018291
MO
2255A2300X
Athletic Trainer
2024018291
MO
Other
Enumeration date
05/28/2024
Last updated
06/03/2024
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