Individual
MRS. JENNIFER WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 OLD STATE ROAD M, IMPERIAL, MO 63052-2954
(636) 942-2181
Mailing address
ANTONIA MIDDLE SCHOOL, 6798 ST. LUKES CHURCH RD., BARNHART, MO 63012
(636) 282-6970
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015020722
MO
Other
Enumeration date
08/08/2014
Last updated
05/21/2018
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