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Individual

LINDSEY FENNEWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1415 ELBRIDGE PAYNE RD, CHESTERFIELD, MO 63017-8538
(636) 898-2040
Mailing address
1415 ELBRIDGE PAYNE RD, CHESTERFIELD, MO 63017-8538

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
MO

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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