MATTALUE ELLIS

SAINT LOUIS, MO
NPI1851814644
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
Additional Taxonomies101YS0200X Counselor, School
Enumeration Date2017-07-24
Last Update Date2017-07-24
Business Address
MATTALUE ELLIS M.A.
11960 WESTLINE INDUSTRIAL DR
SAINT LOUIS, MO 63146-3209
Phone number: 314-439-1949
Mailing Address
MATTALUE ELLIS M.A.
11960 WESTLINE INDUSTRIAL DR
SAINT LOUIS, MO 63146-3209
Phone number: