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Organization
UNITED CEREBRAL PALSY ASSOCIATION OF GREATER ST. LOUIS
Active
Organization
UNITED CEREBRAL PALSY ASSOCIATION OF GREATER ST. LOUIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD FORKOSH (EXECUTIVE DIRECTOR)
(314) 994-1600
Entity
Organization
Contact information
Practice address
8645 OLD BONHOMME RD, SAINT LOUIS, MO 63132-3901
(314) 994-1600
(314) 994-0179
Mailing address
8645 OLD BONHOMME RD, SAINT LOUIS, MO 63132-3901
(314) 994-1600
(314) 994-0179
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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