Individual
MRS. SHANNON MOUREEN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS., CCC-SLP
Contact information
Practice address
90 ELK RUN DR, EUREKA, MO 63025-1210
(636) 938-1056
Mailing address
1809 CLARKSON RD, CHESTERFIELD, MO 63017-5065
(636) 532-3211
(636) 532-4560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2002023138
MO
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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