Individual
DAVID B MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
15055 W 87TH ST PARKWAY, LENEXA, KS 66215
(913) 307-0665
Mailing address
26360 W 111 TERR, OLATHE, KS 66061
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1415
KS
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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