Individual
KERI JANE CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
206 S RONEY ST, CARL JUNCTION, MO 64834-9402
(417) 649-7026
Mailing address
206 S RONEY ST, CARL JUNCTION, MO 64834-9402
(417) 649-7026
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009020176
MO
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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