Individual
MS. LISA SWANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
JOPLIN PUBLIC SCHOOLS, JEC, 2825 S MCCLELLAND BLVD., JOPLIN, MO 64804
(417) 625-4575
Mailing address
102 S EAST ST, MOUNT VERNON, MO 65712-1215
(417) 466-7726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111652
MO
Other
Enumeration date
11/17/2006
Last updated
09/02/2020
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