MEGAN RUSSELL CANCILLA

LEES SUMMIT, MO
NPI1841520285
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2010000742)
Enumeration Date2010-01-07
Last Update Date2012-02-23
Business Address
-- MEGAN RUSSELL CANCILLA
129 NE PARKS VIEW CT
LEES SUMMIT, MO 64064-2353
Phone number: 816-478-9996
Mailing Address
-- MEGAN RUSSELL CANCILLA
1409 SPRUCE DR
GREENWOOD, MO 64034-8687
Phone number: 816-668-5242
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