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1265037428
NEDRA LYNN TANKSLEY
SAINT LOUIS, MO
NPI
1265037428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2001014357)
Enumeration Date
2020-12-03
Last Update Date
2022-12-23
Business Address
NEDRA LYNN TANKSLEY MSW, LCSW
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-268-5700
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Mailing Address
NEDRA LYNN TANKSLEY MSW, LCSW
3648 FLAD AVE
SAINT LOUIS, MO 63110-4022
Phone number: 636-236-1565
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