Individual
MRS. CAROLE CAMPBELL MANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5671
Mailing address
5105 LENOX AVE, SAINT LOUIS, MO 63119-4343
(314) 647-4730
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
01958
MO
Other
Enumeration date
08/26/2008
Last updated
03/31/2009
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