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Individual

MRS. ELLEN MARY OLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4 GATEWAY DR, SAINT LOUIS, MO 63106-2715
(314) 241-8255
Mailing address
4 GATEWAY DR, SAINT LOUIS, MO 63106-2715
(314) 241-8255

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
MO

Other

Enumeration date
02/15/2011
Last updated
02/15/2011
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