Individual
SCARLETT KEELEY-FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8000
Mailing address
2007 FIRETHORN DR, SAINT LOUIS, MO 63131-3928
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
44278
MO
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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