LARA ALLISON MENKE BLOMGREN

SAINT LOUIS, MO
NPI1770136046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2022022020)
Additional Taxonomies2355S0801X Specialist/Technologist, Speech-Language Assistant
Enumeration Date2019-07-16
Last Update Date2025-11-07
Business Address
LARA ALLISON MENKE BLOMGREN
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2599
Phone number: 314-989-8100
Mailing Address
LARA ALLISON MENKE BLOMGREN
5718 SOUTHWEST AVE
SAINT LOUIS, MO 63139-1606
Phone number: 314-277-0736