Individual
KARA LEE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
501 SUNFLOWER LN, O FALLON, MO 63366-1851
(636) 272-2704
Mailing address
800 N DEWEY ST, GREENVILLE, IL 62246-1383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.013745
IL
235Z00000X
Speech-Language Pathologist
Primary
2016021120
MO
Other
Enumeration date
09/11/2017
Last updated
08/07/2019
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