Individual
OLIVIA NIEMIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(314) 919-4700
Mailing address
2317 S 10TH ST APT A, SAINT LOUIS, MO 63104-4253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017027340
MO
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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