Individual
MIKKI GINSBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 633-5354
Mailing address
1770 ROUND ROBIN CT, SAINT LOUIS, MO 63146-3851
(765) 412-0285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015026237
MO
235Z00000X
Speech-Language Pathologist
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—
Other
Enumeration date
07/08/2015
Last updated
09/02/2022
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