TRACY MODEL

SAINT LOUIS, MO
NPI1629235940
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  112269)
Enumeration Date2008-05-22
Last Update Date2008-05-22
Business Address
-- TRACY MODEL
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8150
Mailing Address
-- TRACY MODEL
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8150
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