Individual
MRS. SAMANTHA HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
500 N MAIN ST, LEETON, MO 64761-9238
(660) 653-2301
Mailing address
1129 NE 75, KNOB NOSTER, MO 65336-2101
(816) 752-2482
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017010096
MO
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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