Individual
JENNIFER RENEE RAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
7733 FORSYTH BLVD, SAINT LOUIS, MO 63105-1817
(800) 677-1238
Mailing address
436 E HALSEY ST, REPUBLIC, MO 65738-2624
(417) 732-5973
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003010034
MO
Other
Enumeration date
08/28/2007
Last updated
08/29/2007
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