Individual
MS. IRENE ELIZABETH DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11872 WESTLINE INDUSTRIAL DR STE 180, SAINT LOUIS, MO 63146-3331
(309) 322-8391
Mailing address
11872 WESTLINE INDUSTRIAL DR STE 180, SAINT LOUIS, MO 63146-3331
(309) 322-8391
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-478625
MO
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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