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Individual

JODI NIEHOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
150 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 721-4033
Mailing address
1190 OLD CAP AU GRIS RD, TROY, MO 63379-2300

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019019629
MO

Other

Enumeration date
08/06/2019
Last updated
11/30/2020
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