Individual
CANDY A. LICKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 FELIX ST, SAINT JOSEPH, MO 64501-2706
(816) 671-4000
(816) 671-4013
Mailing address
925 FELIX ST, SAINT JOSEPH, MO 64501-2706
(816) 671-4000
(816) 671-4013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107241
MO
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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