Individual
LOGAN BROOKE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3071 HIGHWAY 15, SHELBYVILLE, MO 63469-2225
(573) 633-2410
Mailing address
6483 HIGHWAY A, LENTNER, MO 63450-3006
(573) 470-4595
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2023033489
MO
Other
Enumeration date
08/24/2023
Last updated
01/22/2025
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