MADISON LALLY

SAINT LOUIS, MO
NPI1316594153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2019021868)
Enumeration Date2019-08-26
Last Update Date2019-08-26
Business Address
MADISON LALLY
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8100
Mailing Address
MADISON LALLY
1902 MAURY AVE APT 1N
SAINT LOUIS, MO 63110-3231
Phone number: 913-522-4398