Individual
CORI NICOLE FARRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.L.P.
Contact information
Practice address
5 MAGNOLIA DR, SALEM, MO 65560-8524
(417) 773-7024
Mailing address
5 MAGNOLIA DR, SALEM, MO 65560-8524
(417) 773-7024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008015484
MO
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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