Individual
JACKIE UNSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
(314) 977-0132
Mailing address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013030173
MO
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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