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Individual

DANA MCCULLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
206 S DITTMAN ST, FRONTENAC, KS 66763-2253
(615) 896-6400
Mailing address
2995 E 770 RD, EL DORADO SPRINGS, MO 64744-8328
(417) 876-5199

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
105132
MO
235Z00000X
Speech-Language Pathologist
Primary
2246
KS

Other

Enumeration date
06/05/2007
Last updated
07/08/2007
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