Individual
MADDISON ALISE O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1027 BELLEVUE AVE, SAINT LOUIS, MO 63117-1996
(314) 768-5202
Mailing address
2105 LITTLE ROUND TOP DR, EDWARDSVILLE, IL 62025-3111
(618) 520-6497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021022096
MO
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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