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EBONY WILSON
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI: 1013334622Individual
Specialties, Licenses & Credentials
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320900000X
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Contact & Hours
- Address
- 3514 BLAIR AVE
SAINT LOUIS, MO 63107 - Phone
- (314) 216-0088
Quick Facts
- NPI
- 1013334622
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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