Individual
JANA MICHELLE BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1818 W WORLEY ST, COLUMBIA, MO 65203-1038
(573) 214-3400
Mailing address
1818 W WORLEY ST, COLUMBIA, MO 65203-1038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019001233
MO
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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