Individual
KATHRYN ANN BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
670 N RANNEY ST, SIKESTON, MO 63801-2016
(573) 471-5287
Mailing address
670 N RANNEY ST, SIKESTON, MO 63801-2016
(573) 471-5287
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003007034
MO
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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