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Individual

MARSHA PETTIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
170 STATE HIGHWAY DD, MARSHFIELD, MO 65706-1513
(417) 859-2120
Mailing address
5505 S PARKHILL AVE, SPRINGFIELD, MO 65810-2503

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0313640
MO

Other

Enumeration date
03/28/2018
Last updated
03/28/2018
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