Individual
MRS. ANDREA MICHELLE MORISAKI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150
Mailing address
241 GEREMMA DR, BALLWIN, MO 63011-3358
(314) 229-7817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0382974
MO
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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