Individual
KATHLEEN ELIZABETH GRZESIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACFSLP
Contact information
Practice address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
(314) 977-0192
(314) 977-0023
Mailing address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
(314) 977-0192
(314) 977-0023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008020479
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468375506
—
MO
Enumeration date
02/23/2009
Last updated
02/23/2009
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