Individual
CAROL EHRHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
620 E DESTIN LN, BOLIVAR, MO 65613-2253
(417) 327-9381
Mailing address
620 E DESTIN LN, BOLIVAR, MO 65613-2253
(417) 327-9381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113807
MO
Other
Enumeration date
08/31/2020
Last updated
09/01/2020
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