Individual
MRS. MARY L. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
327 W 9TH ST, CONCORDIA, KS 66901-3411
(785) 614-1458
Mailing address
327 W 9TH ST, CONCORDIA, KS 66901-3411
(785) 614-1458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-00438
KS
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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