Individual
JACKIE G HAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 VIRGINIA ST, SIKESTON, MO 63801-3347
(573) 472-2581
Mailing address
1002 VIRGINIA ST, SIKESTON, MO 63801-3347
(573) 472-2581
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112127
MO
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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