Individual
EMILIA ELMER INTRIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-5500
Mailing address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-5500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024029594
MO
Other
Enumeration date
10/14/2024
Last updated
10/24/2024
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