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Individual

MRS. MINNIE JEAN EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
8414 LARIAT DR, HAZELWOOD, MO 63042-3040
(314) 521-2186
(314) 521-0816
Mailing address
8414 LARIAT DR, HAZELWOOD, MO 63042-3040
(314) 521-2186
(314) 521-0816

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00961
MO

Other

Enumeration date
01/22/2007
Last updated
07/08/2007
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