SELF EMPLOYED

OVERLAND PARK, KS
NPI1205224904
Entity TypeOrganization
Authorized ContactLEZLI R CARSON
Speech Language Pathologist,
913-484-7194
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: KS  2319)
Enumeration Date2015-01-03
Last Update Date2015-01-03
Business Address
SELF EMPLOYED
11608 W 101ST TER
OVERLAND PARK, KS 66214-2710
Phone number: 913-484-7194
Mailing Address
SELF EMPLOYED
11608 W 101ST TER
OVERLAND PARK, KS 66214-2710
Phone number: 913-484-7194