Individual
SUSAN GOVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLT
Contact information
Practice address
234 E ANDERSON ST, REPUBLIC, MO 65738-1300
(417) 732-3620
Mailing address
234 E ANDERSON ST, REPUBLIC, MO 65738-1300
(417) 732-3620
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
280233
MO
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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