Individual
TESSA HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS WAY, MEXICO, MO 65265-3379
(573) 581-1005
Mailing address
272 HIGHWAY AA, WELLSVILLE, MO 63384-3710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015030027
MO
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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