Individual
MRS. KIM JEAN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
1700 W ASHLEY RD, BOONVILLE, MO 65233-2162
(660) 882-2744
Mailing address
103 WESTRIDGE DR, COLUMBIA, MO 65203-1771
(573) 999-1813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022031132
MO
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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