Individual
MS. LAURA RANDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
312 STEPPING STONE WAY, CAPE GIRARDEAU, MO 63701-8388
(573) 225-3639
Mailing address
312 STEPPING STONE WAY, CAPE GIRARDEAU, MO 63701-8388
(573) 225-3639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016006990
MO
Other
Enumeration date
03/25/2016
Last updated
10/26/2019
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