Individual
MS. MARY S BACKER-CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
150 LONG RD, SUITE 150, CHESTERFIELD, MO 63005-1235
(636) 733-3330
(636) 733-3332
Mailing address
150 LONG RD, SUITE 150, CHESTERFIELD, MO 63005-1235
(636) 733-3330
(636) 733-3332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01075
MO
Other
Enumeration date
12/19/2006
Last updated
07/09/2007
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