Individual
MADISON GRACE HENFLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 COLLEGE AVE, KENNETT, MO 63857-2062
(573) 717-1100
Mailing address
PO BOX 161, HOLCOMB, MO 63852-0161
(573) 344-0321
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2022005489
MO
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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