Individual
MATTIE L FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
10600 LEWIS AND CLARK BLVD, SAINT LOUIS, MO 63136-6005
(314) 430-6389
(866) 617-3422
Mailing address
PO BOX 383, WARSAW, MO 65355-0383
(660) 438-6993
(866) 617-3422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012025605
MO
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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