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Individual

ANGELA M NIEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
12380 DEPAUL DR., BRIDGETON, MO 63044
(314) 447-9741
Mailing address
12380 DEPAUL DR., BRIDGETON, MO 63044
(314) 447-9741

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146009766
IL
235Z00000X
Speech-Language Pathologist
Primary
2011001483
MO

Other

Enumeration date
07/06/2010
Last updated
07/21/2022
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