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Individual

MELISSA COLLEEN HYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHS, CCC-SLP

Contact information

Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 755-3997
Mailing address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 755-3997

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012015993
MO

Other

Enumeration date
10/11/2020
Last updated
10/11/2020
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