Individual
MICAH N. BREECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N MAIN ST, GIDEON, MO 63848-9186
(573) 448-3447
(573) 448-5197
Mailing address
PO BOX 227, 400 MAIN STREET, GIDEON, MO 63848-0227
(573) 448-3447
(573) 448-5197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2001025772
MO
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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