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Individual

MS. AMELIA LOUISE GLASS

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
2 HARBOR BEND CT, SUITE 102, LAKE SAINT LOUIS, MO 63367-1478
(636) 695-2095
(636) 695-2080
Mailing address
2 HARBOR BEND CT, SUITE 102, LAKE SAINT LOUIS, MO 63367-1478
(636) 695-2095
(636) 695-2080

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2010038790
MO

Other

Enumeration date
06/21/2011
Last updated
06/21/2011
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