| NPI | 1689807588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN HICKS Medicaid Secretary 573-785-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2009013434) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |