Individual
MELISSA WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 OLD MILL PKWY, SAINT PETERS, MO 63376-6550
(636) 926-2700
Mailing address
424 E JEFFERSON AVE, KIRKWOOD, MO 63122-4543
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012027941
MO
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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