Individual
MISS MELIA FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CFY/SLP
Contact information
Practice address
405 HILLCREST ST, BONNE TERRE, MO 63628-1421
(573) 431-3300
Mailing address
405 HILLCREST DRIVE, BONNE TERRE, MO 63628
(573) 431-3300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016022747
MO
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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