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Individual

BRAD MELVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1468 NORWOOD DR, SAINT CHARLES, MO 63303-3318
(636) 866-1341
Mailing address
7055 MEXICO RD UNIT 1601, SAINT PETERS, MO 63376-2344
(633) 866-1341
(636) 323-2155

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017019815
MO

Other

Enumeration date
06/22/2018
Last updated
06/22/2018
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