Individual
MS. ANTOINETTE CHIVETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
302 KUHL AVE, WARRENTON, MO 63383-2116
(636) 456-6905
Mailing address
648 BIG BEND DR, WENTZVILLE, MO 63385-3865
(636) 332-2095
(636) 978-5774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
588
MO
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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