Individual
HOLLIE SUZANNE GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
478 CLARK RD, EOLIA, MO 63344-2350
(636) 866-1341
(636) 206-2556
Mailing address
7055 MEXICO RD UNIT 1601, SAINT PETERS, MO 63376-2344
(636) 866-1341
(636) 206-2556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022029847
MO
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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