Individual
SHELBY R LAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S 4TH ST, CANTON, MO 63435-1510
(573) 288-5216
Mailing address
200 S 4TH ST, CANTON, MO 63435-1510
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2023026314
MO
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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