Individual
KARISSA MARIE VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
497 JOACHIM AVE, HERCULANEUM, MO 63048-1034
(636) 479-5200
Mailing address
497 JOACHIM AVE, HERCULANEUM, MO 63048-1034
(636) 479-5200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018032590
MO
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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