Individual
EMMA NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
625 JAMES ST, WATERLOO, IL 62298-1038
(618) 340-0882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024034950
MO
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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