Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JACKSON (SPEECH LANGUAGE PATHOLOGIST)
(913) 369-5897
Entity
Organization
Contact information
Practice address
337 NE 51ST RD, WARRENSBURG, MO 64093-7490
(913) 229-5695
Mailing address
337 NE 51ST RD, WARRENSBURG, MO 64093-7490
(913) 369-5897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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