Individual
KARISSA MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 W COMMERCIAL ST, LEBANON, MO 65536-3146
(417) 657-6001
Mailing address
224 W COMMERCIAL ST, LEBANON, MO 65536-3146
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022029705
MO
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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