Individual
MADELAINE FENCL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 PRINCE RUPPERT DR, O FALLON, MO 63366-1802
(636) 272-2709
Mailing address
12709 PARKWAY ESTATES DR, SAINT LOUIS, MO 63146-3710
(314) 691-9997
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019021483
MO
Other
Enumeration date
08/05/2019
Last updated
12/09/2021
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