Individual
JUDITH A THURMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
FREDERICKTOWN R-1 SCHOOL DIST, 803 EAST HIGHWAY 72, FREDERICKTOWN, MO 63645-7292
(573) 783-2570
(573) 783-7045
Mailing address
803 EAST HIGHWAY 72, FREDERICKTOWN, MO 63645-7292
(573) 783-2570
(573) 783-7045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104802
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467463105
—
MO
Enumeration date
02/28/2007
Last updated
02/19/2009
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