Individual
MRS. JENNIFER BROOKE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
415 NE LINDBERG DR, KANSAS CITY, MO 64118-4716
(816) 216-1027
Mailing address
415 NE LINDBERG DR, KANSAS CITY, MO 64118-4716
(816) 216-1027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009016963
MO
Other
Enumeration date
11/04/2012
Last updated
11/04/2012
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