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1013472703
TERESA L DESHIELDS PHD LLC
CLAYTON, MO
NPI
1013472703
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Entity Type
Organization
Authorized Contact
TERESA L DESHIELDS
Owner
314-403-5415
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2019-02-06
Last Update Date
2019-02-06
Business Address
TERESA L DESHIELDS PHD LLC
225 S MERAMEC AVE STE 432T
CLAYTON, MO 63105-3597
Phone number: 314-403-5415
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Mailing Address
TERESA L DESHIELDS PHD LLC
12 TUSCANY PARK
SAINT LOUIS, MO 63105-3019
Phone number: 314-517-0531
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