Individual
MRS. MAUREEN MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
(314) 077-0175
Mailing address
500 SAINT EDWARD LN, FLORISSANT, MO 63033-5459
(314) 479-4699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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