Individual
MRS. ANN MARIE BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
2336 PCR 200, PERRYVILLE, MO 63775-8413
(573) 517-7362
Mailing address
2336 PCR 200, PERRYVILLE, MO 63775-8413
(573) 517-7362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003018373
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003018373
SLP MO LICENSE
MO
Enumeration date
03/07/2007
Last updated
07/08/2007
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