Provider Information for 1851948475
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MELISSA ANN TEASLEY LPC
Sex: Female
NPI: 1851948475
Last Updated: 2019-08-19
Certification Date:
Certification Date:
Details
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| NPI | 1851948475 | ||||||||
| Enumeration Date | 2019-08-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 401 MERAMEC VLY ARNOLD, MO 63010-4026 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 2842 IOWA AVE SAINT LOUIS, MO 63118-1425 United States Phone: 314-402-1683 | Fax: | ||||||||
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