Individual
MACKENZIE HANKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1510 E BROADWAY ST, BOLIVAR, MO 65613-1246
(417) 326-6284
Mailing address
1510 E BROADWAY ST, BOLIVAR, MO 65613-1246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020023322
MO
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
11/08/2020
Last updated
10/12/2022
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