Individual
MRS. CONNIE CORDELIA LEE-ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
8552 S 160TH ST, OMAHA, NE 68136-1335
(402) 319-0900
Mailing address
8552 S 160TH ST, OMAHA, NE 68136-1335
(402) 319-0900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1095
NE
235Z00000X
Speech-Language Pathologist
2002022539
MO
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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