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1013522374
MIA ELMORE
SAINT LOUIS, MO
NPI
1013522374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 2016022338)
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
MIA ELMORE
4554 LACLEDE AVE APT 308
SAINT LOUIS, MO 63108-2147
Phone number: 217-553-8539
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Mailing Address
MIA ELMORE
4554 LACLEDE AVE APT 308
SAINT LOUIS, MO 63108-2147
Phone number: 217-553-8539
Copy
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