Individual
MARJORIE JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16216 BAXTER RD STE 330, CHESTERFIELD, MO 63017-4778
(636) 733-3330
Mailing address
16216 BAXTER RD STE 330, CHESTERFIELD, MO 63017-4778
(636) 733-3330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2014015723
MO
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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