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Individual

LAUREN KOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
409 FARMER RD # A, WILLARD, MO 65781-9509
(417) 742-2597
Mailing address
409 FARMER RD # A, WILLARD, MO 65781-9509
(417) 742-2597

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018023428
MO

Other

Enumeration date
08/06/2019
Last updated
08/06/2019
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