Individual
ELEANOR RAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1530 CLAY ST, CHILLICOTHE, MO 64601-2065
(660) 646-4215
Mailing address
PO BOX 315, MARCELINE, MO 64658-0315
(660) 413-4484
(660) 376-3894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00735
MO
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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