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Individual

KARA LYNN RANDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2963 DODDRIDGE AVE, MARYLAND HEIGHTS, MO 63043-1736
(314) 291-4557
Mailing address
1330 DOLMAN ST APT 108, SAINT LOUIS, MO 63104-2908
(219) 677-0592

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021009057
MO

Other

Enumeration date
07/19/2021
Last updated
07/19/2021
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