Individual
MARSHA LEE DEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2101 N TWYMAN RD, FORT OSAGE R-I SCHOOL DISTRICT, INDEPENDENCE, MO 64058-3200
(816) 650-7371
(816) 650-7355
Mailing address
2101 N TWYMAN RD, INDEPENDENCE, MO 64058-3200
(816) 650-7371
(816) 650-7355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01420
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466727427
—
MO
Enumeration date
03/12/2007
Last updated
02/19/2009
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