Individual
CARRIE SHEA CORNSTUBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W FROST ST, PLATTSBURG, MO 64477-1344
(816) 539-2187
Mailing address
800 W FROST ST, PLATTSBURG, MO 64477-1344
(816) 539-2187
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017009401
MO
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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