Individual
MARISA EVENS BADAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
16216 BAXTER RD STE 330, CHESTERFIELD, MO 63017-4778
(636) 733-3330
(636) 733-3332
Mailing address
863 PLYMOUTH ROCK DR, DES PERES, MO 63131-2034
(314) 277-8618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20192118
MO
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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