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Individual

MRS. SANETA DIANE THURMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP/A

Contact information

Practice address
9526 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
(314) 968-2710
Mailing address
9526 MANCHESTER RD, SAINT LOUIS, MO 63119-1313
(314) 968-2710

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
2006000805
MO
235Z00000X
Speech-Language Pathologist
Primary
2006000805
MO

Other

Enumeration date
10/05/2007
Last updated
10/05/2007
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