Individual
JORDAN MACKENZIE DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-8100
Mailing address
443 MICHELLE DR, WASHINGTON, MO 63090-5233
(314) 882-4325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024030431
MO
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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