Individual
MIA KELLY PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
12563 VILLAGE CIRCLE DR, SAINT LOUIS, MO 63127-1758
(314) 593-0834
Mailing address
1 BRAQUEWOOD CT, MANCHESTER, MO 63021-6403
(314) 593-0834
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MO
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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