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Individual

MRS. WANDA L CAREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDS

Contact information

Practice address
29302 BIERI RD, CALIFORNIA, MO 65018-3320
(573) 796-8253
(573) 796-3921
Mailing address
29302 BIERI RD, CALIFORNIA, MO 65018-3320
(573) 796-8253
(573) 796-3921

Taxonomy

Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
09/21/2007
Last updated
09/21/2007
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