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Individual

JODI MCVAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
400 W 4TH ST, LOCKWOOD, MO 65682-9675
(417) 232-4513
Mailing address
11720 W STATE HIGHWAY BB, WALNUT GROVE, MO 65770-9156

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0241234
MO
251300000X
Local Education Agency (LEA)
0241234
MO
251300000X
Local Education Agency (LEA)
TC0241234
MO
251300000X
Local Education Agency (LEA)
MO
251300000X
Local Education Agency (LEA)

Other

Enumeration date
09/29/2017
Last updated
09/29/2017
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