Individual
MRS. JAN ELIZABETH MICHAELREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP-L
Contact information
Practice address
4725 CLEARWOOD LN, OSAGE BEACH, MO 65065-2301
(314) 435-4085
Mailing address
4725 CLEARWOOD LN, OSAGE BEACH, MO 65065-2301
(314) 435-4085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012026102
MO
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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