Individual
KATIE R CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31606 N.E. PINK HILL ROAD, GRAIN VALLEY, MO 64029-0304
(816) 847-5006
(816) 229-4831
Mailing address
31606 N.E. PINK HILL ROAD, PO BOX 304, GRAIN VALLEY, MO 64029-0304
(816) 847-5006
(816) 229-4831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2011034018
MO
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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