Individual
ASHLEY CHRISTINE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
101 MIDDLE ST, RENICK, MO 65278
(660) 263-4886
Mailing address
1739 COUNTY ROAD 1123, HUNTSVILLE, MO 65259-2341
(660) 833-8041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2023030576
MO
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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