Individual
MIRANDA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1717 E 15TH ST, JOPLIN, MO 64804-0907
(417) 625-5290
(417) 625-5297
Mailing address
1717 E 15TH ST, JOPLIN, MO 64804-0907
(417) 625-5290
(417) 625-5297
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008021563
MO
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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