Individual
LAUREN THIERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6208 HIGHWAY 61-67, IMPERIAL, MO 63052
(636) 464-4400
(636) 464-4454
Mailing address
6208 HIGHWAY 61-67, IMPERIAL, MO 63052
(636) 464-4400
(636) 464-4454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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