Individual
ELIZABETH PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 BRIDLE PATH LN, O FALLON, MO 63366-1389
(636) 272-3427
Mailing address
505 BRIDLE PATH LN, O FALLON, MO 63366-1389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01949
MO
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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