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Individual

RHONDA RENEE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC SLP

Contact information

Practice address
803 EAST HIGHWAY 72, FREDERICKTOWN, MO 63645-7292
(573) 783-8001
(573) 735-7045
Mailing address
803 EAST HIGHWAY 72, FREDERICKTOWN, MO 63645-7292
(573) 783-8001
(573) 735-7045

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2001022554
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
465189520
MO
Enumeration date
02/28/2007
Last updated
02/19/2009
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