Individual
SARA BETH FORESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
134 W KOSCIUSKO ST, WARSAW, MO 65355
(660) 438-6260
(660) 438-3817
Mailing address
PO BOX 307, WARSAW, MO 65355-0307
(660) 438-6260
(660) 438-3817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0295390
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
469893101
—
MO
Enumeration date
06/18/2008
Last updated
06/18/2008
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