Individual
KASEY SELVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 W 1ST ST, LAMAR, MO 64759-1291
(417) 682-5718
Mailing address
206 W 1ST ST, LAMAR, MO 64759-1291
(417) 682-5718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015014090
MO
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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