Individual
LINDSAY A WAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5030 MCREE AVE, SAINT LOUIS, MO 63110-2046
(314) 776-1300
Mailing address
5846 PRINCE GEORGE CT, SAINT LOUIS, MO 63139-1766
(314) 776-1300
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
0384394
MO
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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