Individual
JAMIE S RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3421 NW JEFFERSON ST, BLUE SPRINGS, MO 64015-8005
(816) 228-4310
(816) 228-4365
Mailing address
3421 NW JEFFERSON ST, BLUE SPRINGS, MO 64015-8005
(816) 228-4310
(816) 228-4365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
HE01381
MO
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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