AMY ELIZABETH LICKENBROCK

O FALLON, MO
NPI1730604109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2017026191)
Enumeration Date2017-08-07
Last Update Date2017-08-07
Business Address
AMY ELIZABETH LICKENBROCK MHS, CF-SLP
1251 TURTLE CREEK DR
O FALLON, MO 63366-5948
Phone number: 636-379-0300
Mailing Address
AMY ELIZABETH LICKENBROCK MHS, CF-SLP
2921 S 18TH ST
SAINT LOUIS, MO 63118-1710
Phone number: 314-707-7506
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