Individual
MRS. MARSHA LYNN KLENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
700 W ADAMS ST, BOWLING GREEN, MO 63334-2046
(573) 324-3962
Mailing address
700 W ADAMS ST, BOWLING GREEN, MO 63334-2046
(573) 324-3962
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2002011887
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275688715
NPI
MA
Enumeration date
01/24/2007
Last updated
10/09/2015
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