Individual
SHARON BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 S PEPPERHILL DR, NIXA, MO 65714-7180
(417) 569-2890
Mailing address
512 S PEPPERHILL DR, NIXA, MO 65714-7180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
114514
MO
235Z00000X
Speech-Language Pathologist
Primary
SP#3408
AR
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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