Individual
MRS. JILLIAN MARIE VOGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 WYNDING GATE DR, LAKE SAINT LOUIS, MO 63367-4394
(314) 479-5653
Mailing address
421 WYNDING GATE DR, LAKE SAINT LOUIS, MO 63367-4394
(314) 479-5653
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12152377
MO
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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