Individual
MARY GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 JUNGS STATION RD, SAINT CHARLES, MO 63303-6010
(636) 851-4272
Mailing address
4545 CENTRAL SCHOOL RD, SAINT CHARLES, MO 63304-7113
(636) 851-4067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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