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Organization

SOUTHERN REYNOLDS RII

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DUSTIE SCHWEIGHAUSER (DISTRICT COORDINATOR)
(573) 663-2291
Entity
Organization

Contact information

Practice address
ONE SCHOOL STREET, ELLINGTON, MO 63638
(573) 663-2291
(573) 663-2412
Mailing address
ONE SCHOOL STREET, ELLINGTON, MO 63638
(573) 663-2291
(573) 663-2412

Taxonomy

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

Other

Enumeration date
03/06/2007
Last updated
05/27/2014
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