LISA ELLIS

SAINT LOUIS, MO
NPI1437247210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MO  01860)
Enumeration Date2006-10-10
Last Update Date2008-08-11
Business Address
-- LISA ELLIS
5300 ARSENAL ST C166
SAINT LOUIS, MO 63139-1463
Phone number: 314-877-5789
Mailing Address
-- LISA ELLIS
5300 ARSENAL ST C166
SAINT LOUIS, MO 63139-1463
Phone number: 314-877-5789
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