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Individual

CARSON ROOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14500 E 42ND ST S STE 220, INDEPENDENCE, MO 64055-4700
(816) 478-7800
(816) 478-7839
Mailing address
14500 E 42ND ST S STE 220, INDEPENDENCE, MO 64055-4700
(816) 478-7800
(816) 478-7839

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
2023019681
MO
235Z00000X
Speech-Language Pathologist
Primary
2025014017
MO
235Z00000X
Speech-Language Pathologist
Primary
2026013770
MO

Other

Enumeration date
11/08/2024
Last updated
04/15/2026
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