Individual
PAM CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 E LESLIE AVE, WALKER, MO 64790-9177
(417) 465-2221
Mailing address
216 E LESLIE AVE, WALKER, MO 64790-9177
(417) 465-2221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006014625
MO
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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