Individual
SHARON BISANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC
Contact information
Practice address
737 SPRING HILL FARM DR, BALLWIN, MO 63021-8420
(636) 225-0324
Mailing address
737 SPRING HILL FARM DR, BALLWIN, MO 63021-8420
(636) 225-0324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01986
MO
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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