Individual
KARI LYNN GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1531 E BRADFORD PKWY STE 210-4, SPRINGFIELD, MO 65804-6539
(417) 881-9500
Mailing address
2921 S GRANT AVE, BOLIVAR, MO 65613-2592
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
2023043663
MO
235Z00000X
Speech-Language Pathologist
Primary
2024011890
MO
Other
Enumeration date
11/01/2023
Last updated
06/28/2024
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