Individual
MRS. CHARLOTTE NICOLE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 N ELM ST, MOUNTAIN VIEW, MO 65548-8472
(417) 394-2550
Mailing address
502 N ELM ST, MOUNTAIN VIEW, MO 65548-8472
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2022031611
MO
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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