Individual
MRS. CHELSEY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
481 N BEDFORD ST, PUXICO, MO 63960-9144
(573) 222-3107
Mailing address
HC 1 BOX 76C, LEOPOLD, MO 63760-9753
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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