Individual
ABIGAYLE DEJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
(314) 266-8365
Mailing address
1612 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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