Individual
AMANDA DEBORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 645-4845
Mailing address
15094 DENWOODS CT, CHESTERFIELD, MO 63017-7001
(315) 723-4891
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0483462
MO
Other
Enumeration date
09/23/2010
Last updated
09/02/2022
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