Individual
MRS. ANGELA NICOLE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8390 LATTY AVE, HAZELWOOD, MO 63042-3236
(314) 521-6060
Mailing address
8390 LATTY AVE, HAZELWOOD, MO 63042-3236
(314) 521-6060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2002011773
MO
Other
Enumeration date
08/13/2007
Last updated
08/14/2007
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