Individual
JORDYN ELAINE DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2 HARBOR BEND CT STE 102, LAKE ST LOUIS, MO 63367-1480
(636) 695-2075
Mailing address
2 HARBOR BEND CT STE 102, LAKE ST LOUIS, MO 63367-1480
(636) 695-2075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013037126
MO
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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