Individual
AMY R AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N CLARK ST, CAPE GIRARDEAU, MO 63701-5105
(573) 335-1867
(573) 334-2817
Mailing address
301 N CLARK ST, CAPE GIRARDEAU, MO 63701-5105
(573) 335-1867
(573) 334-2817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015028032
MO
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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