ADRIENNE KATHERINE WILDE

JEFFERSON CITY, MO
NPI1336281104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  117608)
Enumeration Date2007-02-12
Last Update Date2007-07-08
Business Address
Mrs. ADRIENNE KATHERINE WILDE MS, CCC SLP
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109-2444
Phone number: 573-632-5633
Mailing Address
Mrs. ADRIENNE KATHERINE WILDE MS, CCC SLP
5521 DOVE LAKE RD
JEFFERSON CITY, MO 65101-9328
Phone number: 573-291-4646
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