Individual
MRS. AMY LYNN WIEGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1306 STARLITE CIR, JOPLIN, MO 64801-1450
(417) 626-9481
Mailing address
1306 STARLITE CIR, JOPLIN, MO 64801-1450
(417) 626-9481
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117952
MO
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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