Individual
JULIE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC/SLP-L
Contact information
Practice address
910 NINA ST, DEXTER, MO 63841-9114
(573) 624-4669
Mailing address
102 W WAKEFIELD AVE, SIKESTON, MO 63801-4722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104774
MO
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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