Individual
AMANDA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 S 21ST ST, SAINT LOUIS, MO 63103-2272
(314) 436-1177
Mailing address
3439 PARK AVE APT G, SAINT LOUIS, MO 63104-1303
(385) 535-5461
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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