BLAKE WELLS

DITTMER, MO
NPI1588007256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2008023537)
Enumeration Date2013-04-12
Last Update Date2013-04-12
Business Address
-- BLAKE WELLS
7887 DITTER RIDGE ROAD
DITTMER, MO 63023
Phone number: 636-274-5327
Mailing Address
-- BLAKE WELLS
7887 DITTER RIDGE ROAD
DITTMER, MO 63023
Phone number:
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