Individual
MICHELLE GOEWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, PLBA
Contact information
Practice address
4051 JEFFCO BLVD STE 3, ARNOLD, MO 63010-4261
(636) 223-0070
(636) 323-2042
Mailing address
309 WESTWIND ESTATES LN, VALLEY PARK, MO 63088-1514
(314) 600-2782
(314) 845-3901
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2019007225
MO
Other
Enumeration date
03/22/2019
Last updated
04/24/2023
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