Individual
MRS. NANCY DIANA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
210 S HARDING ST, DESLOGE, MO 63601-2956
(573) 701-2476
Mailing address
210 S HARDING ST, DESLOGE, MO 63601-2956
(573) 701-2476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016004277
MO
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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