Organization
OPEN DOORS SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE WINGO MS CCC-SLP (MANAGING MEMBER)
(417) 818-8011
Entity
Organization
Contact information
Practice address
629 E HARRISON ST, REPUBLIC, MO 65738-1324
(417) 818-8011
Mailing address
638 S MAPLE AVE, REPUBLIC, MO 65738-2219
(417) 818-8011
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
2013017261
MO
Other
Enumeration date
12/11/2016
Last updated
12/11/2016
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