KELLY JORGENSEN

SAINT CHARLES, MO
NPI1902450125
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2016030814)
Enumeration Date2019-07-25
Last Update Date2019-07-25
Business Address
KELLY JORGENSEN
1570 COUNTRY CLUB PLAZA DR
SAINT CHARLES, MO 63303-3859
Phone number: 636-724-1127
Mailing Address
KELLY JORGENSEN
3279 MACKLIND AVE
SAINT LOUIS, MO 63139-1531
Phone number:
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