Individual
LAUREN WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8000
Mailing address
4555 WABASH AVE, SAINT LOUIS, MO 63109-1967
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009020489
MO
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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