Individual
JODI L MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA.CCC-SLP
Contact information
Practice address
1401 E 303RD ST, PAOLA, KS 66071-1386
(913) 294-8040
(913) 294-8041
Mailing address
1401 E 303RD ST, PAOLA, KS 66071-1386
(913) 294-8040
(913) 294-8041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1097
KS
Other
Enumeration date
08/24/2008
Last updated
08/24/2008
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