Individual
MRS. STACY PROSSER WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
915 BRIAR GREEN CT, KIRKWOOD, MO 63122-5149
(314) 965-9669
Mailing address
915 BRIAR GREEN CT, KIRKWOOD, MO 63122-5149
(314) 965-9669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004018422
MO
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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