Individual
ASHLEY ELIZABETH MAIAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
539 MAIN STREET, WESTON, MO 64098
(620) 532-1692
Mailing address
539 MAIN STREET, WESTON, MO 64098
(620) 532-1692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2015028354
MO
235Z00000X
Speech-Language Pathologist
Primary
3736
KS
Other
Enumeration date
08/04/2015
Last updated
08/27/2015
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