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Individual

MR. JAMES EDWIN HANNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, MSC. CCC/SLP

Contact information

Practice address
1120 KONERT VALLEY DR, FENTON, MO 63026-7172
(314) 221-2079
Mailing address
1120 KONERT VALLEY DR, FENTON, MO 63026-7172
(314) 221-2079

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008035476
MO

Other

Enumeration date
06/11/2010
Last updated
06/11/2010
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