Individual
MRS. SALLIE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3697 COUNTY ROAD 136, BOLCKOW, MO 64427-9250
(816) 428-3962
(816) 428-3963
Mailing address
3697 COUNTY ROAD 136, BOLCKOW, MO 64427-9250
(816) 428-3962
(816) 428-3963
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000328
MO
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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