Individual
DENISE R ADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
5815 MANGO DR, SAINT LOUIS, MO 63129-2243
(314) 239-8424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017017863
MO
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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