Edith Stark

NPI 1235467861 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1235467861
Gender Female
Enumeration Date 11/19/2009
Last Updated 11/19/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1818 W WORLEY ST
COLUMBIA MO, 65203-1038, US
Phone (573) 214-3000
Fax
Business Location
1818 W WORLEY ST
COLUMBIA MO, 65203-1038, US
Phone (573) 214-3000
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Missouri
License Number 116649
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According to our database, Edith Stark NPI is 1235467861, taxonomy code is 235Z00000X and license number is 116649, license state is located at Missouri. Edith Stark physically located at 1818 W Worley St, Columbia MO, 65203-1038. NPI Number Edith Stark has the Individual type.

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1235467861 NPI number is provided on an as is basis without warranty of any kind. 1235467861 is maintained by the National Plan & Provider Enumeration System. The contents of Edith Stark are for informational purposes only.