ALISON BROOKE THEOBALD

JACKSON, MO
NPI1194331504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2020029626)
Enumeration Date2020-09-21
Last Update Date2021-10-22
Business Address
ALISON BROOKE THEOBALD CCC-SLP
614 E ADAMS ST
JACKSON, MO 63755-2150
Phone number: 573-243-9513
Mailing Address
ALISON BROOKE THEOBALD CCC-SLP
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8150
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