Individual
SARA JANE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 755-3997
Mailing address
30 KENSINGTON PALACE DR, TROY, MO 63379-7208
(314) 315-5190
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016004099
MO
Other
Enumeration date
08/02/2017
Last updated
03/17/2018
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