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Individual

ANNA FRANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS SLP CCC

Contact information

Practice address
1371 YMCA DR, FESTUS, MO 63028-2617
(636) 465-0726
Mailing address
1371 YMCA DR, FESTUS, MO 63028-2617
(636) 465-0726

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
021304
NY
235Z00000X
Speech-Language Pathologist
Primary
2020033742
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500106232
MO
Enumeration date
11/09/2011
Last updated
05/24/2023
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