Individual
MRS. CHARITY RENEE MACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
700 PARK DR, IRONTON, MO 63650-1480
(573) 546-9700
Mailing address
3833 HIGHWAY O, FARMINGTON, MO 63640-7221
(573) 431-5596
(573) 431-5596
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008021060
MO
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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