Individual
JESSICA REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
513 COUNTY ROAD 4222, POPLAR BLUFF, MO 63901-8047
(559) 905-6611
Mailing address
513 COUNTY ROAD 4222, POPLAR BLUFF, MO 63901-8047
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022034203
MO
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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