Individual
MS. JEANETTE M KRISTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
409 W LOCUST ST, AURORA REORGANIZED SCHOOL DIST R-8, AURORA, MO 65605-1422
(417) 678-3377
(417) 678-4043
Mailing address
409 W LOCUST ST, AURORA, MO 65605-1422
(417) 678-3377
(417) 678-4043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01625
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
469892004
—
MO
Enumeration date
02/23/2007
Last updated
02/19/2009
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