Individual
LOU ANN MCEWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 E WALNUT ST STE B, SHELBINA, MO 63468-1324
(573) 588-4165
Mailing address
206 E WALNUT ST STE B, SHELBINA, MO 63468-1324
(573) 588-4165
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01043
MO
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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