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1407308695
GRACE FASNUT
SAINT LOUIS, MO
NPI
1407308695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 2016022605)
Enumeration Date
2016-11-04
Last Update Date
2022-08-26
Business Address
GRACE FASNUT M.A. CCC-SLP
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8100
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Mailing Address
GRACE FASNUT M.A. CCC-SLP
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8100
Copy
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