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Individual

LOGAN RESLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6000
Mailing address
2601 WINDSOR CREST CT, SHILOH, IL 62221-3523
(618) 789-1514

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016021227
MO

Other

Enumeration date
07/02/2024
Last updated
07/02/2024
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