Individual
EDWARD BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5539 PERSHING AVE APT 331, SAINT LOUIS, MO 63112-2141
(314) 857-6263
Mailing address
5539 PERSHING AVE APT 331, SAINT LOUIS, MO 63112-2141
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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