Individual
STEPHANIE JO TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1099 MOUNT HOPE LN, O FALLON, MO 63366-1000
(636) 272-2717
(636) 272-1059
Mailing address
110 VIRGIL ST, O FALLON, MO 63366-2637
(636) 272-6620
(636) 272-1059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008022592
MO
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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