Individual
RENAE LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
200 N DEWEY STREET, MARYVILLE, MO 64468-8323
(660) 853-8593
Mailing address
200 N DEWEY STREET, MARYVILLE, MO 64468
(660) 853-8593
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014008544
MO
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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