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Organization
ST. LOUIS PUBLIC SCHOOLS
Active
Organization
ST. LOUIS PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAYMONTEZ JACKSON-EWING M.S. CCC-SLP (SPEECH/ LANGUAGE PATHOLOGIST)
(314) 867-0065
Entity
Organization
Contact information
Practice address
8959 RIVERVIEW BLVD, SAINT LOUIS, MO 63147-1475
(314) 867-0634
Mailing address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
2011023675
MO
Other
Enumeration date
10/30/2011
Last updated
10/05/2012
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