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Individual

JESSICA RENEE FELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
801 NE ANDERSON LN, LEES SUMMIT, MO 64064-1244
(816) 853-5865
Mailing address
801 NE ANDERSON LN, LEES SUMMIT, MO 64064-1244
(816) 853-5865

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008035673
MO

Other

Enumeration date
05/09/2012
Last updated
05/09/2012
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