Individual
SOPHIE KATHRYN BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 WEISS RD, SAINT PETERS, MO 63376-7741
(636) 851-6100
Mailing address
2145 W AVENTURA WAY APT 8317, SAINT LOUIS, MO 63146-3139
(618) 509-2780
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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