Individual
ELISABETH SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7432 MARILLAC DR, SAINT LOUIS, MO 63121-4744
(314) 495-8430
Mailing address
210 FIDDLECREEK RIDGE RD, WENTZVILLE, MO 63385-5726
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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