Individual
RENAE DAWN STUMPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2690 THUNDERBIRD DR, KINGDOM CITY, MO 65262-1816
(573) 386-2214
(573) 386-2169
Mailing address
5982 AUDRAIN ROAD 427, MEXICO, MO 65265-5521
(573) 473-6096
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2020035811
MO
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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