Individual
HEATHER MUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
732 E NORTH ST, NIXA, MO 65714-8702
(417) 724-3822
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017024073
MO
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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