ETHAN KRISTEK

MOUNT VERNON, MO
NPI1629420369
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2016020591)
Enumeration Date2016-07-06
Last Update Date2016-07-06
Business Address
Mr. ETHAN KRISTEK M.S., CCC-SLP
1600 S HICKORY ST
MOUNT VERNON, MO 65712-2045
Phone number: 417-466-7103
Mailing Address
Mr. ETHAN KRISTEK M.S., CCC-SLP
309 W SEMINOLE ST
SPRINGFIELD, MO 65807-2959
Phone number:
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