Individual
MIRANDA ELISE KIFFMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3716 MORGANFORD RD, SAINT LOUIS, MO 63116-1615
(618) 698-4680
Mailing address
4616 STOREYLAND DR, ALTON, IL 62002-5800
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2024036960
MO
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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