Individual
SANDRA GAIL CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 WARRIOR LN, POPLAR BLUFF, MO 63901-8686
(573) 429-6173
Mailing address
3100 WARRIOR LN, POPLAR BLUFF, MO 63901-8686
(573) 429-6173
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112485
MO
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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