Individual
GINA CLOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1603 KIMBERLY CT, GREENWOOD, MO 64034-8700
(816) 808-7216
Mailing address
1603 KIMBERLY CT, GREENWOOD, MO 64034-8700
(816) 808-7216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146009373
IL
235Z00000X
Speech-Language Pathologist
Primary
2009001043
MO
Other
Enumeration date
06/11/2008
Last updated
11/01/2011
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