Individual
HANNAH GANSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 CHICORY CREEK LN, FLORISSANT, MO 63031-1309
(314) 953-4100
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016012842
MO
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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