Individual
MISS JULIA BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
900 HOMEFIELD BLVD, O FALLON, MO 63366-4482
(636) 379-4911
Mailing address
900 HOMEFIELD BLVD, O FALLON, MO 63366-4482
(636) 379-4911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016028065
MO
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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