Individual
CYNTHIA B MUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 E HIGHWAY 124, HALLSVILLE R-IV SCHOOL DISTRICT, HALLSVILLE, MO 65255-9346
(573) 696-5512
(573) 696-3606
Mailing address
411 E HIGHWAY 124, HALLSVILLE, MO 65255-9346
(573) 696-5512
(573) 696-3606
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01459
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465690014
—
MO
Enumeration date
03/02/2007
Last updated
02/19/2009
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