Individual
MRS. CASANDRA BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
809 S 8TH ST, CLINTON, MO 64735-2907
(660) 885-5585
Mailing address
137 SW 95TH RD, WARRENSBURG, MO 64093-8160
(187) 442-9715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017029232
MO
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215453154
—
MO
Enumeration date
08/22/2017
Last updated
09/29/2020
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