Individual
KAITLIN ALEXANDRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
1444 S OLD HIGHWAY 66, BOURBON, MO 65441-6300
(573) 732-3293
Mailing address
1281 WATSON RD, SULLIVAN, MO 63080-3011
(573) 259-2265
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024036619
MO
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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