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1871977595
BETHANY LORD
SAINT LOUIS, MO
NPI
1871977595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2013015416)
Enumeration Date
2015-07-13
Last Update Date
2015-07-13
Business Address
-- BETHANY LORD
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139-1101
Phone number: 314-534-9350
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Mailing Address
-- BETHANY LORD
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139-1101
Phone number: 314-534-9350
Copy
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