Individual
MRS. BRENDA JEAN BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1009 E 16TH ST, KEARNEY, MO 64060-7636
(816) 223-2934
Mailing address
1009 E 16TH ST, KEARNEY, MO 64060-7636
(816) 223-2934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003019551
MO
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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