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Individual

ELIZABETH L RIEDEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 VIRGIL ST, FORT ZUMWALT SCHOOL DISTRICT, O FALLON, MO 63366-2637
(636) 240-2072
(636) 980-1946
Mailing address
110 VIRGIL ST, O FALLON, MO 63366-2637
(636) 240-2072
(636) 980-1946

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109145
MO

Other

Enumeration date
08/31/2007
Last updated
02/19/2009
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