Individual
MS. MICHELLE RENE' RUBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3625 MAGNOLIA AVE, SAINT LOUIS, MO 63110-4048
(317) 771-2990
(317) 771-7960
Mailing address
2840 DALTON AVE, SAINT LOUIS, MO 63139-1630
(314) 645-7571
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006014641
MO
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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