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1992263248
DANIEL STEPHEN TEATER
SAINT LOUIS, MO
NPI
1992263248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: MO 2012029760)
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
Mr. DANIEL STEPHEN TEATER LPC, M.Div, MAC
11780 BORMAN DR
SAINT LOUIS, MO 63146-4135
Phone number: 314-479-9028
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Mailing Address
Mr. DANIEL STEPHEN TEATER LPC, M.Div, MAC
5947 WATERMAN BLVD
SAINT LOUIS, MO 63112-1517
Phone number: 314-518-1616
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