Individual
CLAIRE RUSSOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
1220 HARVEST RIDGE DR, SAINT CHARLES, MO 63303-5972
(636) 851-5100
Mailing address
1220 HARVEST RIDGE DR, SAINT CHARLES, MO 63303-5972
(636) 851-5100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024030426
MO
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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