Individual
GARY AMLONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2820 DARDENNE LINKS DR, O FALLON, MO 63368-9741
(636) 357-2951
Mailing address
PO BOX 2153, DEPT 8116, BIRMINGHAM, AL 35287-8116
(636) 675-5471
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
08/27/2021
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