Individual
JULIANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-9100
Mailing address
4113 HARTFORD ST, SAINT LOUIS, MO 63116-3924
(314) 479-8690
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2023025905
MO
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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