Individual
MR. JESSE LAURENCE BOHLMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCC-SLP
Contact information
Practice address
1346 S MORLEY, MOBERLY, MO 65270
(660) 263-5488
(660) 263-5750
Mailing address
1346 S MORLEY, MOBERLY, MO 65270
(660) 263-5488
(660) 263-5750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007010560
MO
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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