Individual
MARIE MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-4178
Mailing address
3802 ADRIENNE DR, JOPLIN, MO 64801-8384
(417) 781-8338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003008013
MO
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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