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Organization
THE SPEECH AND LANGUAGE PRESCHOOL, LLC
Active
Organization
THE SPEECH AND LANGUAGE PRESCHOOL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA E GROTEWIEL M.S. CCC-SLP (OWNER-SPEECH PATHOLOGIST)
(660) 351-1138
Entity
Organization
Contact information
Practice address
4816 SANTANA CIR, COLUMBIA, MO 65203-7138
(660) 351-1138
(573) 693-2225
Mailing address
4816 SANTANA CIR, COLUMBIA, MO 65203-7138
(660) 351-1138
(573) 693-2225
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2015022655
MO
235Z00000X
Speech-Language Pathologist
2003011040
MO
235Z00000X
Speech-Language Pathologist
Primary
2006006972
MO
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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