Individual
JUDITH WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
353 CONCORD LN, JACKSON, MO 63755-7135
(573) 243-6543
Mailing address
353 CONCORD LN, JACKSON, MO 63755-7135
(573) 243-6543
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00679
MO
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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