Individual
COURTNEY LYNN MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 N CLOVERLEAF DR STE J, SAINT PETERS, MO 63376-6436
(636) 922-4700
Mailing address
1121 BELLERIVE BLVD, SAINT LOUIS, MO 63111-2134
(636) 751-8650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021019478
MO
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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