Individual
MRS. ELLEN L. WEINBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
17599 HIGHWAY 8, SAINT JAMES, MO 65559-8227
(573) 265-0436
Mailing address
PO BOX 506, SAINT JAMES, MO 65559-0506
(573) 265-0436
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111656
MO
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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