Individual
KELLY MARIE SONWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
101 S WASHINGTON ST, MEXICO, MO 65265-2730
(573) 473-2394
Mailing address
7331 AUDRAIN ROAD 449, RUSH HILL, MO 65280-2104
(573) 582-2836
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2022040180
MO
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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