Lily Black
NPI #1003690207 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1003690207
- Entity Type
- Individual
- Name
- Lily Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 21, 2023
- Last Updated
- Aug 21, 2023
Practice Location
- Address
- 10911 TESSON FERRY RD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63123-6114
- Phone
- (314) 729-2485
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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