Organization
DAZZLING SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CLARK MHS, CCC-SLP (SLP/OWNER/MANAGER)
(573) 289-5040
Entity
Organization
Contact information
Practice address
309 PARK LN UNIT O, ODESSA, MO 64076-1676
(573) 289-5040
Mailing address
309 PARK LN UNIT O, ODESSA, MO 64076-1676
(573) 289-5040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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