Individual
EMILY THOMPSON BLAZEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 231-3720
Mailing address
15 YORK HILLS DR, SAINT LOUIS, MO 63144-1057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022028578
MO
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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