Individual
MRS. STACEY DAWN HIRSCHVOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S OWEN ST, CALIFORNIA, MO 65018-1150
(573) 796-2161
Mailing address
101 S OWEN ST, CALIFORNIA, MO 65018-1150
(573) 796-2161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2002020879
MO
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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