Individual
CARLY ROSE COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFY-SLP
Contact information
Practice address
27600 E COLBERN RD, LEES SUMMIT, MO 64086-8424
(816) 986-2330
Mailing address
3602 NE AKIN DR UNIT B, LEES SUMMIT, MO 64064-3505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022036894
MO
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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