Individual
MADISON EHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 185, MOSCOW MILLS, MO 63362-0185
(314) 477-8960
Mailing address
PO BOX 185, MOSCOW MILLS, MO 63362-0185
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024039154
MO
Other
Enumeration date
10/03/2024
Last updated
12/04/2025
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