Individual
EBONI DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 EAGER RD STE 200, SAINT LOUIS, MO 63144-1419
(314) 724-4712
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63109-1101
(314) 206-3700
(314) 206-3708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P-23777
PARAMEDIC
MO
Enumeration date
10/08/2024
Last updated
10/08/2024
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