Individual
MARY BRUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
402 E LINCOLN AVE, OWENSVILLE, MO 65066-1445
(573) 437-2177
(573) 437-5808
Mailing address
7992 BEEMONT RD, GERALD, MO 63037-1102
(573) 764-3321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12094844
MO
Other
Enumeration date
04/11/2007
Last updated
09/27/2013
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