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1033280144
ELLEN MARTING JAYAPRABHU
SAINT LOUIS, MO
NPI
1033280144
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Former Name
ELLEN ANDERSON MARTING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MO 2006030663)
Enumeration Date
2006-11-11
Last Update Date
2021-12-20
Business Address
Mrs. ELLEN MARTING JAYAPRABHU LMFT
425 N NEW BALLAS RD STE 285
SAINT LOUIS, MO 63141-6877
Phone number: 314-635-6505
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Mailing Address
Mrs. ELLEN MARTING JAYAPRABHU LMFT
6362 ALAMO AVE
SAINT LOUIS, MO 63105-3104
Phone number: 314-583-2242
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