Individual
DENISE WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1700 S HUDSON AVE, AURORA, MO 65605-2717
(417) 818-8011
Mailing address
638 S MAPLE AVE, REPUBLIC, MO 65738-2219
(417) 818-8011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013017261
MO
Other
Enumeration date
06/19/2012
Last updated
12/11/2016
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