Individual
MARY BETH GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1176 TOWN AND COUNTRY COMMONS, CHESTERFIELD, MO 63017-8200
(636) 207-2200
(636) 207-2201
Mailing address
1176 TOWN AND COUNTRY COMMONS, CHESTERFIELD, MO 63017-8200
(636) 207-2200
(636) 207-2201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
117284
MO
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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