Individual
MRS. HEATHER RAE LOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC, SLP
Contact information
Practice address
315 COLBERN ST, BELTON, MO 64012-2317
(816) 348-1575
Mailing address
315 COLBERN ST, BELTON, MO 64012-2317
(816) 348-1575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0344759
MO
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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