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Individual

CHARLA STORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP-A

Contact information

Practice address
215 W 4TH ST, WILLOW SPRINGS, MO 65793-1118
(417) 469-3260
Mailing address
1112 N WALNUT ST, WILLOW SPRINGS, MO 65793-3443
(417) 855-9565

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2023028654
MO

Other

Enumeration date
01/08/2024
Last updated
01/08/2024
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