Individual
KELLY ELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 STAMPEDE DR, ANDERSON, MO 64831-7801
(417) 845-3321
Mailing address
PO BOX 482, ANDERSON, MO 64831-0482
(417) 389-0252
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2022036218
MO
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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