Individual
RACHEL PADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 MCMENAMY RD, SAINT PETERS, MO 63376-1510
(636) 397-3111
Mailing address
2913 MIDDLEBUSH CT, SAINT LOUIS, MO 63119-1429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017025394
MO
235Z00000X
Speech-Language Pathologist
—
MO
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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