Individual
JESSICA DAWN SPOONSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 TOMAHAWK, ELSBERRY R-II, ELSBERRY, MO 63343-0106
(573) 898-5554
(573) 898-3140
Mailing address
PO BOX 106, 138 TOMAHAWK, ELSBERRY, MO 63343-0106
(573) 898-5554
(573) 898-3140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2005004544
MO
Other
Enumeration date
02/23/2007
Last updated
07/09/2007
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