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Individual

MEGHANN KONCZAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2120 BRYAN VALLEY COMMERCIAL DR, O FALLON, MO 63366-3495
(636) 240-8096
Mailing address
1722 CANARY CV, SAINT LOUIS, MO 63144-1605

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015023187
MO

Other

Enumeration date
07/09/2015
Last updated
07/09/2015
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