BAILEY CHAKLOS

BRIDGETON, MO
NPI1720780588
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2022031592)
Enumeration Date2023-03-17
Last Update Date2023-03-17
Business Address
BAILEY CHAKLOS
12380 DE PAUL DR
BRIDGETON, MO 63044-2511
Phone number: 314-447-9710
Mailing Address
BAILEY CHAKLOS
1210 OXFORD HILL CT APT 6
SAINT LOUIS, MO 63146-5718
Phone number: 618-578-8619