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1609909605
SUSAN M LACKEY
SAINT LOUIS, MO
NPI
1609909605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MO 2000159257)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
SUSAN M LACKEY
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8150
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Mailing Address
SUSAN M LACKEY
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8150
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