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1023348125
LARA LYNN WAKEFIELD
COLUMBIA, MO
NPI
1023348125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 2006028879)
Enumeration Date
2010-01-12
Last Update Date
2010-01-12
Business Address
Dr. LARA LYNN WAKEFIELD Ph.D., CCC-SLP
2507 ST REGIS CT
COLUMBIA, MO 65203-8445
Phone number: 572-268-3284
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Mailing Address
Dr. LARA LYNN WAKEFIELD Ph.D., CCC-SLP
2507 ST REGIS CT
COLUMBIA, MO 65203-8445
Phone number: 572-268-3284
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