Individual
MISS JESSICA MAXINE TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
101 E 28TH TER, APT. 9, KANSAS CITY, MO 64108-3350
(816) 674-7868
Mailing address
101 E 28TH TER, APT. 9, KANSAS CITY, MO 64108-3350
(816) 674-7868
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009004345
MO
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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