Individual
LISA WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5022 DEVILLE AVE, SAINT LOUIS, MO 63119-4324
(314) 503-7116
Mailing address
5022 DEVILLE AVE, SAINT LOUIS, MO 63119-4324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007022763
MO
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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