Individual
AUDREY LEE NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 231-3720
Mailing address
19003 FOX LAKE RD, WILDWOOD, MO 63069-2911
(636) 388-6620
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2025013367
MO
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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