Individual
LAUREN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3318
(636) 373-7989
Mailing address
300 ARCHVIEW DR, SHILOH, IL 62221-0433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018027982
MO
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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