Individual
JORDAN ELIZABETH MACNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 NE 108TH ST, KANSAS CITY, MO 64156-6314
(816) 321-5020
Mailing address
1851 NW 38TH ST APT 307, KANSAS CITY, MO 64116-4636
(310) 697-9703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2023032457
MO
235Z00000X
Speech-Language Pathologist
3922
KS
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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