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Individual

KAILIN LEISURE SCHMIEDESKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-4210
Mailing address
1225 S GRAND BLVD, DEPT OF OTOLARYNGOLOGY - GARDEN LEVEL, ST LOUIS, MO 63104-4475
(314) 306-5578

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020014761
MO

Other

Enumeration date
09/20/2021
Last updated
11/19/2024
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