PAUL FREDRICK DETRICK

FLORISSANT, MO
NPI1689627150
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MO  00843)
Enumeration Date2006-05-18
Last Update Date2007-07-08
Business Address
-- PAUL FREDRICK DETRICK Ph.D.
701 SAINT FRANCOIS ST
FLORISSANT, MO 63031-4921
Phone number: 314-837-7828
Mailing Address
-- PAUL FREDRICK DETRICK Ph.D.
152 PLANT AVE
WEBSTER GROVES, MO 63119-3028
Phone number: 314-837-7828
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