Individual
STACEY N ROSEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 BLUMHOFF AVE, WENTZVILLE, MO 63385-1104
(636) 327-3846
(636) 327-3958
Mailing address
1 CAMPUS DR, WENTZVILLE, MO 63385-3415
(636) 327-3800
(636) 327-8611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0303758
MO
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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