Individual
MRS. GRETA JANE NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2727 MC CLELLAND BLVD, JOPLIN, MO 64804-1626
(417) 659-6493
(417) 625-2097
Mailing address
2727 MC CLELLAND BLVD, JOPLIN, MO 64804-1626
(417) 659-6493
(417) 625-2097
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112580
MO
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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