Individual
MRS. JESSICA L ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
107 E HARRISON ST, BRUNSWICK, MO 65236
(660) 548-1212
(660) 548-1023
Mailing address
107 E HARRISON ST, BRUNSWICK, MO 65236
(660) 548-1212
(660) 548-1023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003015508
MO
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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