Individual
KATHLEEN LUTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 DELMAR AVE, UNION, MO 63084-1130
(636) 583-3923
Mailing address
1025 DELMAR AVE, UNION, MO 63084-1130
(636) 583-3923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
82000000
MO
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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