Individual
MALLORY CHRISTINA GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
3251 RIDGETOP VIEW DR, SAINT LOUIS, MO 63129-5289
(314) 623-7675
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022022581
MO
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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