Individual
BRITTNEY BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(618) 540-8752
Mailing address
519 W CENTER ST, LEBANON, IL 62254-1208
(618) 540-8752
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013036777
MO
Other
Enumeration date
10/29/2013
Last updated
11/02/2022
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