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1750807368
MIA LEVINE
SAINT LOUIS, MO
NPI
1750807368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 2013045345)
Enumeration Date
2017-08-15
Last Update Date
2017-08-15
Business Address
MIA LEVINE
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8100
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Mailing Address
MIA LEVINE
35 ENFIELD RD
SAINT LOUIS, MO 63132-4317
Phone number: 314-680-9341
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