Individual
MRS. MELISSA WARNER BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
FT ZUMWALT R-II, 110 VIRGIL ST, O FALLON, MO 63366-2637
(636) 727-1059
(636) 980-1946
Mailing address
110 VIRGIL ST, O FALLON, MO 63366-2637
(636) 727-1059
(636) 980-1946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006008737
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467592705
—
MO
Enumeration date
03/07/2007
Last updated
07/09/2007
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