Individual
GRETCHEN A VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 CARR ST, WENTZVILLE, MO 63385-1151
(636) 327-3839
(636) 327-3957
Mailing address
1 CAMPUS DR, WENTZVILLE, MO 63385-3415
(636) 327-3800
(636) 327-8611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0248030
MO
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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