Individual
CALLIE MAE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4359 TAFT AVE, SAINT LOUIS, MO 63116-1533
(314) 752-2022
Mailing address
4359 TAFT AVE, SAINT LOUIS, MO 63116-1533
(314) 752-2022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019046398
MO
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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