Individual
CARLY RANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N KEENE ST, COLUMBIA, MO 65201-8367
(573) 882-7350
Mailing address
3517 BRIARMONT AVE APT 206, COLUMBIA, MO 65201-4214
(608) 577-0984
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022019677
MO
Other
Enumeration date
08/15/2022
Last updated
03/28/2025
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