Provider First Line Business Practice Location Address:
WASHINGTON UNIVERSITY PSYCHOLOGICAL SERVICES CENTER
Provider Second Line Business Practice Location Address:
7 NTH JACKSON AVE
Provider Business Practice Location Address City Name:
CLAYTON
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-591-5564
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2007