Individual
BRANDY MARETTE KOMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2843 COMMUNITY LN, HIGH RIDGE, MO 63049-2337
(636) 677-3473
(636) 677-5480
Mailing address
6432 HANCOCK AVE, SAINT LOUIS, MO 63139-2033
(765) 586-4047
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017030477
MO
Other
Enumeration date
08/15/2018
Last updated
01/20/2023
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