Individual
MARTHA E WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2129 E 35TH ST, JOPLIN, MO 64804-4226
(417) 434-5848
Mailing address
2129 E 35TH ST, JOPLIN, MO 64804-4226
(417) 434-5848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00824
MO
Other
Enumeration date
03/01/2007
Last updated
07/09/2007
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