Individual
MS. JENNIFRE BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
688 SE BAYBERRY LN, SUITE 102, LEES SUMMIT, MO 64063-4354
(816) 525-4116
Mailing address
7616 HIGH DR, PRAIRIE VILLAGE, KS 66208-3642
(816) 835-6241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02099
MO
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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