Individual
MELISSA CRUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
617 GREENSFERRY RD, JACKSON, MO 63755-1355
(573) 204-7788
Mailing address
617 GREENSFERRY RD, JACKSON, MO 63755-1355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2011030383
MO
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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