Individual
JENNIFER GREENWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
191 SE 51ST RD, WARRENSBURG, MO 64093-7715
(417) 342-0126
Mailing address
191 SE 51ST RD, WARRENSBURG, MO 64093-7715
(417) 342-0126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013039614
MO
Other
Enumeration date
01/29/2015
Last updated
06/02/2017
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