Individual
MRS. JANETTE MCKENZIE RASPBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 COLLEGE AVE, KENNETT, MO 63857-2062
(573) 717-1124
Mailing address
510 COLLEGE AVE, KENNETT, MO 63857-2062
(573) 717-1124
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2000155018
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100204151608123
—
MO
Enumeration date
02/26/2010
Last updated
02/26/2010
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