Individual
MARY DIANE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TEACHER CERTIFICATE
Contact information
Practice address
19805 STATE HWY C, BOX 370, ADVANCE, MO 63730
(573) 722-3564
(573) 722-9886
Mailing address
19805 STATE HWY C, BOX 370, ADVANCE, MO 63730
(573) 722-3564
(573) 722-9886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
07/09/2007
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