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1215943147
ELLEN LOCKARD EDENS
BRIDGETON, MO
NPI
1215943147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MO 2004004159)
Enumeration Date
2006-07-31
Last Update Date
2007-08-01
Business Address
Dr. ELLEN LOCKARD EDENS MD, MPE, MA
3165 MCKELVEY RD SUITE 200
BRIDGETON, MO 63044-2550
Phone number: 314-206-3900
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Mailing Address
Dr. ELLEN LOCKARD EDENS MD, MPE, MA
1430 OLIVE ST SUITE 500
SAINT LOUIS, MO 63103-2303
Phone number: 314-206-3724
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