Individual
JINGER ANDREA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9363 E 67TH TER, RAYTOWN, MO 64133-5803
(502) 229-2406
Mailing address
9363 E 67TH TER, RAYTOWN, MO 64133-5803
(502) 229-2406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61194307
WA
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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