Individual
AMY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1 CHILDRENS PL, 3S23, SAINT LOUIS, MO 63110-1002
(314) 454-2201
Mailing address
1 CHILDRENS PL, 3S23, SAINT LOUIS, MO 63110-1002
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2014024793
MO
Other
Enumeration date
10/09/2014
Last updated
11/02/2021
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