Individual
CARISSA RINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 S COTTAGE GROVE AVE, KIRKSVILLE, MO 63501
(660) 626-1459
Mailing address
1101 N LUTHER ST APT B, KIRKSVILLE, MO 63501-1207
(660) 341-8671
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024006612
MO
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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