Individual
JAMIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 FOUR SEASONS SHOPPING CTR STE 121, CHESTERFIELD, MO 63017-3173
(314) 620-6337
Mailing address
106 FOUR SEASONS SHOPPING CTR STE 121, CHESTERFIELD, MO 63017-3173
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015020299
MO
Other
Enumeration date
02/25/2016
Last updated
05/11/2023
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