Nina Marie Fensom, SLP

NPI #1811203870 in O Fallon, Missouri

Provider Information

NPI Number
1811203870
Entity Type
Individual
Name
Nina Marie Fensom, SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
SLP
Enumeration Date
Aug 27, 2010
Last Updated
Jun 9, 2011

Practice Location

Address
110 VIRGIL ST
ZIP Code
63366-2637
Phone
(636) 272-1059

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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