PAUL JEFFREY MACK

SAINT LOUIS, MO
NPI1780740563
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: CO  2504)
Enumeration Date2006-12-28
Last Update Date2007-07-08
Business Address
PAUL JEFFREY MACK CHTP, ED.D, MS, BA
1015 MCCAUSLAND AVE
SAINT LOUIS, MO 63117-1924
Phone number: 314-781-5050
Mailing Address
PAUL JEFFREY MACK CHTP, ED.D, MS, BA
2960 MILTON BLVD
SAINT LOUIS, MO 63104-1636
Phone number: 314-497-5247
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