Individual
DEBORAH WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
6963 PERNOD AVE, SAINT LOUIS, MO 63139-2117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
234755
MO
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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