Individual
JORDYN LEIGH GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15955 NEW HALLS FERRY RD, FLORISSANT, MO 63031-1227
(314) 953-5000
Mailing address
15955 NEW HALLS FERRY RD, FLORISSANT, MO 63031-1227
(314) 953-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018021463
MO
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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