Individual
MRS. MARY BIERBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF- SLP
Contact information
Practice address
3600 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2369
(816) 228-8393
Mailing address
3600 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2369
(816) 228-8393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019031246
MO
235Z00000X
Speech-Language Pathologist
3521
KS
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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