Individual
MRS. EMILY JO OBERGOENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., SLP
Contact information
Practice address
1502 W JACKSON BLVD, JACKSON, MO 63755-3010
(573) 587-2520
Mailing address
1502 W JACKSON BLVD, JACKSON, MO 63755-3010
(573) 587-2520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015029740
MO
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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