Individual
KENNA IRENE MARQUARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 MERCHANT ST STE 103, COLUMBIA, MO 65203-5816
(573) 777-8783
Mailing address
2911 ROLLINS RD APT A2, COLUMBIA, MO 65203-0753
(515) 370-3287
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022022603
MO
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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