Individual
MRS. COLLEEN MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
12430 TESSON FERRY RD, SUITE 352, SAINT LOUIS, MO 63128-2702
(186) 649-5543
(866) 495-2445
Mailing address
12430 TESSON FERRY RD, SUITE 352, SAINT LOUIS, MO 63128-2702
(186) 649-5543
(866) 495-2445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004012582
MO
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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