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Individual

DORINDA HOWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT.

Contact information

Practice address
408 E 5TH ST, WASHINGTON, MO 63090-2811
(314) 808-2165
Mailing address
874 AMBURGY DR, WASHINGTON, MO 63090-5971
(314) 808-2165

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2001025534
MO

Other

Enumeration date
02/04/2016
Last updated
02/04/2016
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