Individual
MRS. PAMELA SUE KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
6800 DAKOTA DR, BONNE TERRE, MO 63628-8200
(573) 518-0140
Mailing address
6800 DAKOTA DR, BONNE TERRE, MO 63628-8200
(573) 518-0140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101777
MO
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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