Individual
MRS. CYNTHIA LOUISE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
300 4TH STREET, VIENNA, MO 65582
(573) 422-3365
Mailing address
304 VICTORIA LN, ROLLA, MO 65401-4191
(573) 578-3239
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018030844
MO
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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