TIFFANY LYNN BALLOUGH

FAYETTE, MO
NPI1588998223
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2009027332)
Enumeration Date2009-09-29
Last Update Date2009-09-29
Business Address
-- TIFFANY LYNN BALLOUGH SLP
705 LUCKY ST
FAYETTE, MO 65248-1140
Phone number: 660-248-3800
Mailing Address
-- TIFFANY LYNN BALLOUGH SLP
705 LUCKY ST
FAYETTE, MO 65248-1140
Phone number: 660-248-3800
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