Individual
MRS. JESSICA MARIE KEERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
13600 ROUTE C, RUSSELLVILLE, MO 65074-2033
(573) 782-4814
Mailing address
PO BOX 1128, JEFFERSON CITY, MO 65102-1128
(573) 632-5614
(573) 632-5990
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14074389
MO
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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