Individual
MILLICENT GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4945 NORTHLAND PL, SAINT LOUIS, MO 63113-1728
(314) 303-8498
Mailing address
4945 NORTHLAND PL, SAINT LOUIS, MO 63113-1728
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
8316157
MO
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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