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ELIZABETH PROVENCIO
Speech-Language Pathologist
NPI: 1457182214Individual
Specialties, Licenses & Credentials
Speech-Language PathologistPrimary
Speech-Language Pathologist
Code: 235Z00000X
SLP6047(AZ)
Contact & Hours
- Address
- 4554 LACLEDE AVE APT 308
SAINT LOUIS, MO 63108 - Phone
- (217) 553-1786
Quick Facts
- NPI
- 1457182214
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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