Individual
BRIANNA M SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
419 DUSTIN CT, BONNE TERRE, MO 63628-3714
(573) 518-1203
Mailing address
419 DUSTIN CT, BONNE TERRE, MO 63628-3714
(573) 518-1203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003017531
MO
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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