Individual
MRS. JAMIE SHEREE IPOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
203 N MAIN ST, ROGERSVILLE, MO 65742-9386
(417) 753-3628
Mailing address
203 N MAIN ST, ROGERSVILLE, MO 65742-9386
(417) 753-3628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004012583
MO
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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