Individual
JESSICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
14820 E 42ND ST S, INDEPENDENCE, MO 64055-4775
(816) 478-7762
Mailing address
9629 APPLERIDGE LN, LENEXA, KS 66227-3306
(913) 486-7400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2078
KS
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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