Individual
KAITLYN BROTEMARKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14605 CLAYTON RD, BALLWIN, MO 63011-2656
(314) 415-6986
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(636) 352-9595
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/22/2022
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