Individual
BETH MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 KUHL AVE, WARRENTON, MO 63383-2116
(636) 456-4311
(636) 456-0861
Mailing address
302 KUHL AVE, WARRENTON, MO 63383-2116
(636) 456-4311
(636) 456-0861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114536
MO
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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