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Individual

DR. LONDON RACHELLE GLEGHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
10097 MANCHESTER ROAD, SUITE 105, ST. LOUIS, MO 63122
(314) 313-2289
(314) 984-8019
Mailing address
10097 MANCHESTER ROAD, SUITE 105, ST. LOUIS, MO 63122
(314) 313-2289
(314) 984-8019

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2013025008
MO
235Z00000X
Speech-Language Pathologist
2006011480
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
505161109
MO
Enumeration date
10/22/2007
Last updated
12/09/2020
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