Individual
MRS. SARAH WARNER TICHENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2166 LAFAYETTE AVE APT E, SAINT LOUIS, MO 63104-2511
(314) 372-5964
Mailing address
2166 LAFAYETTE AVE APT E, SAINT LOUIS, MO 63104-2511
(314) 372-5964
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009016954
MO
Other
Enumeration date
09/21/2009
Last updated
08/24/2010
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