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Individual

MISS CONNIE WELCH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.H.S.

Contact information

Practice address
679 W ELM ST, #2, LEBANON, MO 65536-3585
(417) 588-4275
Mailing address
212 HILLSIDE CT, LEBANON, MO 65536-4457
(417) 532-5725

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01500
MO

Other

Enumeration date
06/06/2006
Last updated
07/09/2007
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