Individual
JILL JOSEPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6608 RAYTOWN RD, RAYTOWN, MO 64133-5240
(816) 268-7000
Mailing address
6608 RAYTOWN RD, RAYTOWN, MO 64133-5240
(816) 268-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
284107
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284107
DESE CERTIFICATION
MO
Enumeration date
03/26/2018
Last updated
03/26/2018
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