Individual
MRS. CARRIE LORENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, SLP LICENSE
Contact information
Practice address
519 8TH ST, PARK HILLS, MO 63601-4232
(636) 305-3499
Mailing address
36 KEYSTONE CT, FENTON, MO 63026-4883
(636) 305-3499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008002668
MO
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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