Individual
STEPHANIE DAWN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
320 E 9TH ST, MOUNTAIN GROVE, MO 65711-1119
(417) 926-3177
(417) 926-7474
Mailing address
9135 FAWN CIR, MOUNTAIN GROVE, MO 65711-3119
(417) 259-3627
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2008028428
MO
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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