Individual
JORDAN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9710
Mailing address
3048 BYRNES MILL RD, EUREKA, MO 63025-3025
(636) 222-7954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2025023897
MO
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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