Individual
SUSAN BEA FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10010 EDMONDSON HILLS DR, ROLLA, MO 65401-8300
(573) 578-7787
Mailing address
10010 EDMONDSON HILLS DR, ROLLA, MO 65401-8300
(573) 578-7787
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
002874
MO
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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