Individual
ALYSSA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2650 OLIVE ST, SAINT LOUIS, MO 63103-1424
(314) 533-8200
Mailing address
2900 MARSHALL AVE, MAPLEWOOD, MO 63143-3206
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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