Individual
DAKOTA HUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 869-4845
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 869-4845
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019013497
MO
235Z00000X
Speech-Language Pathologist
46002770A
IN
Other
Enumeration date
07/08/2015
Last updated
09/09/2020
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