Individual
JESSICA MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 E SUNSHINE ST, SPRINGFIELD, MO 65804-1313
(417) 523-7500
(417) 523-7595
Mailing address
424 S CANTON AVE, SPRINGFIELD, MO 65802-5654
(573) 619-0824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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