Individual
PAIGE LAURA KNERL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N MAIN ST, LEETON, MO 64761-9238
(660) 653-2301
Mailing address
419 SE HIGHWAY PP, LEETON, MO 64761-8135
(660) 653-4102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2005041213
MO
Other
Enumeration date
07/29/2012
Last updated
07/29/2012
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