Individual
MAKENZIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 FREDERICK AVE, SAINT JOSEPH, MO 64506-2985
(816) 364-3836
Mailing address
3303 FREDERICK AVE, SAINT JOSEPH, MO 64506-2985
(816) 364-3836
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021022095
MO
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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