Marie Moder

NPI #1497971295 in O Fallon, Missouri

Provider Information

NPI Number
1497971295
Entity Type
Individual
Name
Marie Moder
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Apr 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
9233 HIGHWAY DD
ZIP Code
63368-6515
Phone
(636) 625-1026

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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