Individual
MRS. SUSAN JANETTE MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3209
(314) 819-0480
Mailing address
208 S WOODWARD ST, EASTON, MO 64443
(816) 344-4392
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
117346
MO
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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