Individual
MR. JAKE RYAN PARTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. SLP-CCC
Contact information
Practice address
21257 HWY 177, JACKSON, MO 63755-7811
(618) 599-8558
Mailing address
21257 HWY 177, JACKSON, MO 63755-7811
(618) 599-8558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015009734
MO
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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