Individual
PATRICIA CAROL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
437 N MAIN ST, JASPER, MO 64755-9377
(417) 214-6300
Mailing address
437 N MAIN ST, JASPER, MO 64755-9377
(417) 214-6300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004008259
MO
Other
Enumeration date
01/24/2007
Last updated
04/29/2010
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