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1023220589
DIANE G SANFORD
SAINT LOUIS, MO
NPI
1023220589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TH0004X Psychologist Health
(Licence: MO PY01223)
Enumeration Date
2007-05-04
Last Update Date
2011-11-23
Business Address
DR. DIANE G SANFORD PH.D.
425 N NEW BALLAS RD SUITE 195
SAINT LOUIS, MO 63141-6814
Phone number: 314-991-5666
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Mailing Address
DR. DIANE G SANFORD PH.D.
425 N NEW BALLAS RD SUITE 195
SAINT LOUIS, MO 63141-6814
Phone number: 314-991-5666
Copy
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