Individual
MS. HEEJUNGKELLY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CFY-SLP
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 633-5360
Mailing address
7347 SHAFTESBURY AVE, SAINT LOUIS, MO 63130-2243
(314) 583-2949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2010027794
MO
Other
Enumeration date
09/14/2010
Last updated
02/15/2011
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