Individual
ELIZABETH LADUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1230 TOM GINNEVER AVE, O FALLON, MO 63366-4406
(636) 272-4447
Mailing address
1230 TOM GINNEVER AVE, O FALLON, MO 63366-4406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016023486
MO
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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