Individual
MISS AMANDA LEIGH WINGERTSAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SP
Contact information
Practice address
1177 N. WARSON RD, ST. LOUIS, MO 63132
(314) 569-2211
(314) 569-0778
Mailing address
1177 N. WARSON RD, ST. LOUIS, MO 63132
(314) 569-2211
(314) 569-0778
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004034552
MO
Other
Enumeration date
02/08/2006
Last updated
01/13/2015
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