Individual
JAMEELA TRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 N GRAND BLVD, SAINT LOUIS, MO 63107-1831
(314) 535-6624
Mailing address
330 J MARK CT, O FALLON, MO 63366-3073
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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