JENNIFER ROSE BLACK

MOUNTAIN GROVE, MO
NPI1275606816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2005034527)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
-- JENNIFER ROSE BLACK M.S., CCC-SLP
207 E 5TH ST
MOUNTAIN GROVE, MO 65711-1660
Phone number: 417-926-3177
Mailing Address
-- JENNIFER ROSE BLACK M.S., CCC-SLP
PO BOX 806 207 E. 5TH STREET
MOUNTAIN GROVE, MO 65711-0806
Phone number: 417-926-3177
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