Individual
ALLY NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
478 CLARK RD, EOLIA, MO 63344-2350
(636) 866-1341
(636) 866-1341
Mailing address
7055 MEXICO RD UNIT 1601, SAINT PETERS, MO 63376-2344
(636) 866-1341
(636) 866-1341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2023029002
MO
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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