Individual
SAMANTHA KAY SUDDUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1881 PINE ST, SAINT LOUIS, MO 63103-2264
(314) 533-0975
Mailing address
4011 PAPIN ST, SAINT LOUIS, MO 63110-1731
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021019476
MO
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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