Individual
DR. ALICIA ELLEN WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
620 WALTON DR, FARMINGTON, MO 63640-1935
(573) 756-0500
(573) 756-0505
Mailing address
620 WALTON DR, FARMINGTON, MO 63640-1935
(573) 756-0500
(573) 756-0505
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2014035188
MO
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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