| Let's Talk Teen Clinic Inc. | |
|
119 Church Street Suite 131 Ferguson MO 63135 | |
| (314) 494-2584 | |
| Not Available |
| Full Name | Let's Talk Teen Clinic Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 119 Church Street, Ferguson, Missouri |
| Authorized Official Name and Position | Staisy Young (NURSE PRACTITIONER) |
| Authorized Official Contact | 3144942584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Let's Talk Teen Clinic Inc. 119 Church Street Suite 131 Ferguson MO 63135 Ph: () - | Let's Talk Teen Clinic Inc. 119 Church Street Suite 131 Ferguson MO 63135 Ph: (314) 494-2584 |
| NPI Number | 1164860375 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 10/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164860375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 2002031370 (Missouri) | Primary |
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