Individual
MARY REGHAN M. PANGBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4025 CENTRAL ST, KANSAS CITY, MO 64111-2207
(816) 914-9319
Mailing address
4025 CENTRAL ST, KANSAS CITY, MO 64111-2207
(816) 914-9319
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2004019694
MO
235Z00000X
Speech-Language Pathologist
Primary
3817
KS
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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