Individual
MOLLY VANDERGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
6641 CLAYTON AVE APT 2F, SAINT LOUIS, MO 63139-3322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2025036085
MO
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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