Individual
AIMEE K RUSSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S RONEY ST, CARL JUNCTION, MO 64834-9402
(417) 649-7026
(417) 649-6594
Mailing address
206 S RONEY ST, CARL JUNCTION, MO 64834-9402
(417) 649-7026
(417) 649-6594
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2001013147
MO
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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