Individual
MS. CARNETTA JOANN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC SLP
Contact information
Practice address
4238 DE SOTO AVE, SAINT LOUIS, MO 63107-1605
(314) 534-0144
Mailing address
4238 DE SOTO AVE, SAINT LOUIS, MO 63107-1605
(314) 534-0144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
119875
MO
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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