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Individual

MRS. MEGAN RENAE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
3000 2ND AVE STE 204, KEARNEY, NE 68847-3571
(308) 455-3435
(308) 455-3437
Mailing address
3000 2ND AVE STE 204, KEARNEY, NE 68847-3571
(308) 455-3435
(308) 455-3437

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1221
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025290000
NE
Enumeration date
09/14/2007
Last updated
07/06/2021
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