Individual
CAROLYN BLECHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(618) 791-5201
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016013996
MO
Other
Enumeration date
06/03/2016
Last updated
08/22/2019
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