Individual
MARISSA JOY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1881 PINE ST, SAINT LOUIS, MO 63103-2264
(314) 533-0975
Mailing address
7619 HARLAN WALK, SAINT LOUIS, MO 63123-2842
(984) 500-6108
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020021115
MO
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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