| NPI | 1083086474 |
|---|---|
| Doing Business As | MEDELYN MINOR |
| Entity Type | Organization |
| Authorized Contact | MEDELYN MINOR Owner 314-650-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2005009307) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |