Individual
MS. PATTI ANN CARBOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
850 COUNTRY MANOR LN, CREVE COEUR, MO 63141-6651
(314) 434-5900
Mailing address
1948 BEACONGROVE DR, SAINT LOUIS, MO 63146-3637
(314) 542-2067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01151
MO
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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