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Individual

MAKENNA GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
4101 N STATE HIGHWAY NN STE 101, OZARK, MO 65721-7198
(417) 744-9284
Mailing address
4101 N STATE HIGHWAY NN STE 101, OZARK, MO 65721-7198
(417) 744-9284

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2023029160
MO
235Z00000X
Speech-Language Pathologist
2024033143
MO

Other

Enumeration date
07/18/2023
Last updated
05/20/2025
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