Individual
MRS. MARY KAY RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3071 HIGHWAY 15, SHELBYVILLE, MO 63469-2225
(573) 633-2401
(573) 633-2138
Mailing address
PO BOX 24, SHELBYVILLE, MO 63469-0024
(573) 633-2302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102372
MO
Other
Enumeration date
02/15/2007
Last updated
07/09/2007
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