Individual
STEPHANIE K WILLIAMS-BOGUSKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
918 MAIN ST, LEXINGTON, MO 64067-1343
(660) 251-4055
Mailing address
PO BOX 476, LEXINGTON, MO 64067-0476
(816) 776-5678
(816) 776-3979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2018093283
MO
Other
Enumeration date
10/29/2018
Last updated
10/26/2021
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