Individual
SARAH MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 MATTOX DR, SULLIVAN, MO 63080-2364
(573) 468-7733
Mailing address
940 MATTOX DR, SULLIVAN, MO 63080-2364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020019950
MO
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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