Individual
SAGE BUSENBARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
694 COCHRANE RD, PARK HILLS, MO 63601-8201
(573) 330-5829
Mailing address
694 COCHRANE RD, PARK HILLS, MO 63601-8201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022034168
MO
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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