Individual
JESSIE CACERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
608 E SHAWNEE ST, PAOLA, KS 66071-2058
(650) 863-8632
Mailing address
608 E SHAWNEE ST, PAOLA, KS 66071-2058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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