Individual
KALEN GRACE LUECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 W 5TH ST, FULTON, MO 65251-1735
(573) 680-4913
Mailing address
210 EL MERCADO PLZ, JEFFERSON CITY, MO 65109-6822
(573) 680-4913
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2026028973
MO
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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