Individual
MRS. SAUNDRA DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
317 OZARK TRAIL DR, SUITE 110, ELLISVILLE, MO 63011-2191
(636) 227-0506
Mailing address
260 PINE TREE LN, BALLWIN, MO 63011-3301
(636) 227-0506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01041
MO
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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