Individual
BRENNA COLEEN NEVELS MUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NW SNI A BAR PKWY, GRAIN VALLEY, MO 64029-7800
(816) 847-5006
Mailing address
949 SW DANEY DR, LEES SUMMIT, MO 64081-2761
(816) 785-9432
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2024038132
MO
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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