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Individual

AMY S TREZEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
67 BIG CREEK DR, MOSCOW MILLS, MO 63362-1940
(636) 734-7564
Mailing address
67 BIG CREEK DR, MOSCOW MILLS, MO 63362-1940
(636) 734-7564

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0329665
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
467446407
MO
Enumeration date
06/06/2007
Last updated
06/17/2010
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