Individual
ASHLEY MENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4168 JUNIATA ST, SAINT LOUIS, MO 63116-3931
(513) 263-0908
Mailing address
322 N BOYLE AVE, #LLN, SAINT LOUIS, MO 63108-2903
(513) 263-0908
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2016044880
MO
Other
Enumeration date
01/18/2017
Last updated
04/20/2017
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