IDA JANE GRIDER

SAINT LOUIS, MO
NPI1891906509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MO  101y00000x)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
Mrs. IDA JANE GRIDER LPC
12755 OLIVE BLVD STE 115 SUITE 115
SAINT LOUIS, MO 63141-6242
Phone number: 314-898-0100
Mailing Address
Mrs. IDA JANE GRIDER LPC
4666 KELLYKRIS DR
SAINT CHARLES, MO 63304-3411
Phone number: 636-936-2466
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