JORDAN L FUQUA

SAINT PETERS, MO
NPI1942855127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2019026466)
Enumeration Date2019-08-05
Last Update Date2019-08-05
Business Address
JORDAN L FUQUA
600 FIRST EXECUTIVE AVE
SAINT PETERS, MO 63376-2578
Phone number: 630-877-0650
Mailing Address
JORDAN L FUQUA
600 FIRST EXECUTIVE AVE
SAINT PETERS, MO 63376-2578
Phone number:
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