Individual
JAMIE WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 PONDEROSA AVE, O FALLON, IL 62269-2513
(618) 322-0365
Mailing address
420 PONDEROSA AVE, O FALLON, IL 62269-2513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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