Individual
MRS. LEGACY GRACE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
403 W FITE ST, PARK HILLS, MO 63601-3711
(573) 431-2616
Mailing address
403 W FITE ST, PARK HILLS, MO 63601-3711
(573) 431-2616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2023012393
MO
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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