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Individual

MRS. BROOKE RENE LYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
2 HARBOR BEND CT, LAKE ST LOUIS, MO 63367-1478
(314) 920-5494
Mailing address
2 HARBOR BEND CT, LAKE ST LOUIS, MO 63367-1478

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018017747
MO

Other

Enumeration date
07/30/2019
Last updated
07/30/2019
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