Individual
MINDY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 W SYCAMORE ST, NIXA, MO 65714-9480
(417) 272-8173
Mailing address
255 W SYCAMORE ST, NIXA, MO 65714-9480
(417) 272-8173
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006022366
MO
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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