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Individual

JOHN MUNDLOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13190 S OUTER 40 RD, CHESTERFIELD, MO 63017-5917
(314) 754-2180
Mailing address
4947 NOTTINGHAM AVE, SAINT LOUIS, MO 63109-2960
(314) 265-6077

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009009268
MO

Other

Enumeration date
03/25/2011
Last updated
03/25/2011
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