Individual
KAREN K MIKITIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
12550 SUNSET DR, SAINT LOUIS, MO 63128-2168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
174935
MO
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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