Individual
LAURA REANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
814 LOCUST ST, BOONVILLE, MO 65233-1311
(660) 882-6527
Mailing address
814 LOCUST ST, BOONVILLE, MO 65233-1311
(660) 882-6527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018028141
MO
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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