Individual
MRS. MELINDA E DECLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2560 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2417
(314) 715-3855
Mailing address
9811 LAKEFORD LN, SAINT LOUIS, MO 63123-6229
(314) 631-2032
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2011041437
MO
Other
Enumeration date
03/10/2012
Last updated
03/10/2012
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