Individual
MRS. CLAIRE SUZANNE MENGWASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
505 E 5TH ST, FULTON, MO 65251-1703
(573) 592-2571
Mailing address
1901 CHICAGO RD, JEFFERSON CITY, MO 65109-1222
(573) 634-3825
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003013944
MO
Other
Enumeration date
12/11/2006
Last updated
07/09/2007
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