Individual
LISA GILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
101 NW ENGLEWOOD RD, GLADSTONE, MO 64118-4054
(816) 876-9352
(816) 841-7701
Mailing address
101 NW ENGLEWOOD RD, GLADSTONE, MO 64118-4054
(816) 876-9352
(816) 841-7701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007027353
MO
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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