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1982907788
MYRA G STANLEY
SAINT LOUIS, MO
NPI
1982907788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2005004276)
Enumeration Date
2010-12-16
Last Update Date
2010-12-16
Business Address
-- MYRA G STANLEY LCSW
3800 S BROADWAY
SAINT LOUIS, MO 63118-4608
Phone number: 314-772-2205
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Mailing Address
-- MYRA G STANLEY LCSW
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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