Individual
KRISTIN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPCF
Contact information
Practice address
706 HICKMAN AVE, FULTON, MO 65251-1146
(573) 590-8500
Mailing address
2 HORNET DR, FULTON, MO 65251-2732
(573) 642-2206
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2017022872
MO
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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