Individual
MAKAYLA MARIE DORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
ONE CHILDREN'S PLACE, MS: 90-49-023, ST. LOUIS, MO 63110-1081
(314) 454-6171
Mailing address
ONE CHILDREN'S PLACE, MS: 90-49-023, ST. LOUIS, MO 63110-1081
(314) 454-6171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
09/16/2022
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