Individual
AMY L DOORACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CAMPUS DR, WENTZVILLE, MO 63385-3415
(636) 327-3800
(636) 327-8611
Mailing address
5275 QUAIL RIDGE PKWY, WENTZVILLE, MO 63385-3541
(636) 327-3800
(636) 327-3800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0453912
MO
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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