Individual
REBECCA ELAINE LAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 NW GARDEN ST, GRAIN VALLEY, MO 64029
(816) 265-1170
Mailing address
120 NW GARDEN ST, GRAIN VALLEY, MO 64029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024033902
MO
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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