Individual
LISA SLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 DROSTE RD, SAINT CHARLES, MO 63301-1125
(636) 443-4241
Mailing address
3601 DROSTE RD, SAINT CHARLES, MO 63301-1125
(636) 443-4241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015039406
MO
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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