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1639736515
CHILD AND ADOLESCENT LIFE THERAPY
SAINT LOUIS, MO
NPI
1639736515
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Entity Type
Organization
Authorized Contact
COURTNEY L LUSTER
Mental Health Therapist
314-440-8468
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2019-05-25
Last Update Date
2019-05-25
Business Address
CHILD AND ADOLESCENT LIFE THERAPY
4390 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108-2735
Phone number:
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Mailing Address
CHILD AND ADOLESCENT LIFE THERAPY
4390 LINDELL BLVD STE 200
SAINT LOUIS, MO 63108-2735
Phone number: 314-744-9002
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