Individual
MAKAYLA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 198, SUMMERSVILLE, MO 65571-0198
(417) 932-4054
Mailing address
14054 GERMAN RD, BUCYRUS, MO 65444-8924
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2021030331
MO
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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