Individual
AMBER NICOLE MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2979 PCR 501, PERRYVILLE, MO 63775-3246
(573) 535-4791
Mailing address
2979 PCR 501, PERRYVILLE, MO 63775-3246
(573) 535-4791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019032527
MO
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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