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1093173239
LYNN SUPPLE
SAINT LOUIS, MO
NPI
1093173239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IA 075591)
Enumeration Date
2016-02-02
Last Update Date
2016-02-02
Business Address
Dr. LYNN SUPPLE PsyD
16 N GORE AVE SUITE 203
SAINT LOUIS, MO 63119-2315
Phone number: 615-574-5957
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Mailing Address
Dr. LYNN SUPPLE PsyD
1103 SELMA AVE
SAINT LOUIS, MO 63119-4766
Phone number: 615-574-5957
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