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Organization

MCKENZIE CENTER FOR SPEECH AND LANGUAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE S. MCKENZIE M.S.,CCC; SLP (SPEECH PATHOLOGIST)
(314) 909-1449
Entity
Organization

Contact information

Practice address
134 ENCHANTED PKWY, SUITE 204, MANCHESTER, MO 63021-5495
(314) 909-1449
(636) 220-7182
Mailing address
134 ENCHANTED PKWY, SUITE 204, MANCHESTER, MO 63021-5495
(314) 909-1449
(636) 220-7182

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01315
MO

Other

Enumeration date
10/13/2010
Last updated
10/13/2010
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