Provider Demographics
NPI:1548713985
Name:CURLEE, MARY
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:CURLEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10021 CLAIRMONT DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-3112
Mailing Address - Country:US
Mailing Address - Phone:314-245-3954
Mailing Address - Fax:314-499-4358
Practice Address - Street 1:10021 CLAIRMONT DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-3112
Practice Address - Country:US
Practice Address - Phone:314-245-3954
Practice Address - Fax:314-499-4358
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker