Individual
MARY K WISSMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7703 NW BARRY RD, KANSAS CITY, MO 64153-1731
(816) 359-4050
(816) 359-4059
Mailing address
7703 NW BARRY RD, KANSAS CITY, MO 64153-1731
(816) 359-4050
(816) 359-4059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112310
MO
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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