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1326183088
LAURA ELLEN GREEN
SAINT LOUIS, MO
NPI
1326183088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 1999137385)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
Ms. LAURA ELLEN GREEN
12430 TESSON FERRY RD STE 352
SAINT LOUIS, MO 63128-2702
Phone number: 866-495-5437
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Mailing Address
Ms. LAURA ELLEN GREEN
3047 DELAVAN DR
SAINT LOUIS, MO 63121-4611
Phone number:
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