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1649723602
SHAELYNN TICE
SAINT LOUIS, MO
NPI
1649723602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2019032902)
Enumeration Date
2016-07-26
Last Update Date
2020-04-10
Business Address
SHAELYNN TICE LCSW
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2599
Phone number: 314-989-8100
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Mailing Address
SHAELYNN TICE LCSW
4008 CONNECTICUT ST # 1F
SAINT LOUIS, MO 63116-3908
Phone number: 618-214-6372
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