Individual
MRS. SHANA C PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. S. CCC-SLP
Contact information
Practice address
22808 E HIGHWAY 86, GRANBY, MO 64844-7416
(417) 628-3227
Mailing address
1012 HICKORY ST, CASSVILLE, MO 65625-2000
(417) 847-6406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117276
MO
Other
Enumeration date
03/30/2007
Last updated
07/09/2007
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