Individual
JODI MILJAVAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10264 US HIGHWAY 36, EASTON, MO 64443-4228
(816) 752-5253
Mailing address
10264 US HIGHWAY 36, EASTON, MO 64443-4228
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2005039226
MO
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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