Individual
HAILEE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4554 LACLEDE AVE APT 308, SAINT LOUIS, MO 63108-2147
(314) 543-3860
Mailing address
4554 LACLEDE AVE APT 308, SAINT LOUIS, MO 63108-2147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/13/2012
Last updated
12/04/2020
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