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1104249622
ROBERT FARRELLY
SAINT LOUIS, MO
NPI
1104249622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MO 2013037930)
Enumeration Date
2014-02-04
Last Update Date
2024-03-22
Business Address
ROBERT FARRELLY
621 S NEW BALLAS RD #112A
SAINT LOUIS, MO 63141-8232
Phone number: 314-779-9500
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Mailing Address
ROBERT FARRELLY
621 S NEW BALLAS RD #112A
SAINT LOUIS, MO 63141-8232
Phone number: 314-779-9500
Copy
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