Individual
KAYLIE JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 W ROLLA RD, SALEM, MO 65560-2709
(573) 729-6642
Mailing address
215 COUNTY ROAD 6040, SALEM, MO 65560-6202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017008440
MO
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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