Individual
MRS. SHANNON MALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MERAMEC BLUFFS DR, BALLWIN, MO 63021-3309
(314) 495-8752
Mailing address
17440 HILLTOP RIDGE DR, EUREKA, MO 63025-1035
(314) 495-8752
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004012581
MO
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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