Individual
ELLISON BRUNKHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 W ASHLEY RD, BOONVILLE, MO 65233-2162
(660) 882-2744
Mailing address
27491 HIGHWAY CC, CONCORDIA, MO 64020-6409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MO
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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