Individual
LAURA SIMONE PENDERGRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1815 SAINT EUGENE, SENECA, MO 64865
(417) 776-4109
(417) 776-1508
Mailing address
PO BOX 469, SENECA, MO 64865-0469
(417) 776-4109
(417) 776-1508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004017836
MO
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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