MATTIE L FORD

SAINT LOUIS, MO
NPI1730435983
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2012025605)
Enumeration Date2012-07-25
Last Update Date2012-07-25
Business Address
-- MATTIE L FORD CF-SLP
10600 LEWIS AND CLARK BLVD
SAINT LOUIS, MO 63136-6005
Phone number: 314-430-6389
Mailing Address
-- MATTIE L FORD CF-SLP
PO BOX 383
WARSAW, MO 65355-0383
Phone number: 660-438-6993
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