Individual
JADE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
925 FELIX ST, SAINT JOSEPH, MO 64501-2706
(816) 671-4000
(816) 671-4013
Mailing address
5041 BROOKLYN AVE, KANSAS CITY, MO 64130-2532
(816) 853-4737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014036850
MO
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/16/2014
Last updated
10/16/2020
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