Individual
MRS. JODI DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 E 15TH ST, ELDON, MO 65026-2533
(417) 773-3848
Mailing address
409 E 15TH ST, ELDON, MO 65026-2533
(417) 773-3848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014025188
MO
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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