Individual
KIRK LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
868 WEST MAIN ST, STEELVILLE, MO 65565
(573) 775-2099
Mailing address
13 VILLAGE WEST CT APT 301, WASHINGTON, MO 63090-1969
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014024928
MO
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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