Individual
KATIE NICOLE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 VIRGIL ST, O FALLON, MO 63366-2644
(636) 281-2356
(636) 281-0005
Mailing address
210 VIRGIL ST, O FALLON, MO 63366-2644
(636) 281-2356
(636) 281-0005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014027300
MO
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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