CHARLES ALBERT MALLETT

SAINT LOUIS, MO
NPI1962789065
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: MO  0011228854)
Enumeration Date2011-11-03
Last Update Date2011-11-03
Business Address
-- CHARLES ALBERT MALLETT B.A.
1430 OLIVE ST
SAINT LOUIS, MO 63103-2303
Phone number: 314-206-3700
Mailing Address
-- CHARLES ALBERT MALLETT B.A.
8640 NEALY LN
EDWARDSVILLE, IL 62025-7018
Phone number: 618-656-3972
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