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1548398514
DEIDRE LAROYCE STANLEY
SAINT LOUIS, MO
NPI
1548398514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2002008273)
Enumeration Date
2007-03-01
Last Update Date
2007-07-09
Business Address
Ms. DEIDRE LAROYCE STANLEY LCSW
5795 DE GIVERVILLE AVE
SAINT LOUIS, MO 63112-1638
Phone number: 314-401-1640
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Mailing Address
Ms. DEIDRE LAROYCE STANLEY LCSW
5795 DE GIVERVILLE AVE
SAINT LOUIS, MO 63112-1638
Phone number: 314-401-1640
Copy
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