NINA MARIE FENSOM

O FALLON, MO
NPI1811203870
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2010028293)
Enumeration Date2010-08-27
Last Update Date2011-06-09
Business Address
-- NINA MARIE FENSOM SLP
110 VIRGIL ST
O FALLON, MO 63366-2637
Phone number: 636-272-1059
Mailing Address
-- NINA MARIE FENSOM SLP
110 VIRGIL ST
O FALLON, MO 63366-2637
Phone number: 636-272-1059
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