Individual
ANDREA C FAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 W 7TH ST, LAMAR, MO 64759-1285
(417) 682-3527
(417) 682-6013
Mailing address
202 W 7TH ST, LAMAR, MO 64759-1285
(417) 682-3527
(417) 682-6013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003011868
MO
Other
Enumeration date
08/17/2011
Last updated
08/04/2014
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