Individual
CARRIE E WARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MAPLE LN, LEBANON, MO 65536-4703
(417) 657-6003
Mailing address
224 W COMMERCIAL ST, LEBANON, MO 65536-3146
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2022034362
MO
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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