Individual
NINA DAVOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5008 BEACON FALLS DR, COLUMBIA, MO 65203-1691
(573) 999-9297
Mailing address
5008 BEACON FALLS DR, COLUMBIA, MO 65203-1691
(573) 999-9297
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12034356
MO
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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