Individual
MRS. ROBERTA LEE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
825 N MAIN ST, PIEDMONT, MO 63957-1222
(573) 223-3643
Mailing address
825 N MAIN ST, PIEDMONT, MO 63957-1222
(573) 223-3643
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2014031259
MO
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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