Individual
LYNDA KATHLEEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 TOMAHAWK DRIVE, ELSBERRY, MO 63443
(573) 898-5554
Mailing address
138 TOMAHAWK DR, ELSBERRY, MO 63343-1151
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
246551
MO
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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