Individual
MICHELLE DRAKESMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2407 KENTUCKY ST, LOUISIANA, MO 63353-2503
(573) 754-5456
Mailing address
2407 KENTUCKY ST, LOUISIANA, MO 63353-2503
(573) 754-5456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016022603
MO
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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