Individual
MRS. JENIFER LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
207 GROVE PARK CT, WENTZVILLE, MO 63385-1161
(314) 502-4348
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2000146915
MO
Other
Enumeration date
01/24/2007
Last updated
08/23/2019
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