Individual
MRS. AMY ELIZABETH BRUECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
414 KNOX ST, JACKSON, MO 63755-2012
(573) 204-7861
Mailing address
414 KNOX ST, JACKSON, MO 63755-2012
(573) 204-7861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2005001727
MO
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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