Individual
MISS MELISSA KAY MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
500 CAYCE ST, FARMINGTON, MO 63640-2910
(573) 756-6768
Mailing address
821 HILLSBORO RD, APT. 23, FARMINGTON, MO 63640-1638
(618) 559-7019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009018159
MO
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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