Individual
MS. BRANDI SUZANNE LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 CLAYTON DR, ODESSA, MO 64076-7478
(816) 288-1897
Mailing address
717 CLAYTON DR, ODESSA, MO 64076-7478
(816) 288-1897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007011279
MO
Other
Enumeration date
11/15/2007
Last updated
05/03/2021
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