Individual
MRS. KAREN ELAINE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC/SLP
Contact information
Practice address
4172 SUNNY RD, NEW HAVEN, MO 63068-2710
(573) 459-2209
Mailing address
4172 SUNNY RD, NEW HAVEN, MO 63068-2710
(573) 459-2209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006022433
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154595205
NATIONAL PROVIDER IDENTIFIER
—
05
—
856288303
—
MO
Enumeration date
04/19/2008
Last updated
05/03/2008
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