Individual
JEFFREY STUART DAMERALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5910 CLIFTON AVE, SAINT LOUIS, MO 63109-3407
(314) 352-1043
(314) 352-3685
Mailing address
618 TRAVELLA CT, BALLWIN, MO 63011-1547
(314) 853-1910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020035169
MO
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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