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Olivia Russell
Speech-Language Assistant in Thayer, Missouri
NPI 1154199693

Olivia Russell is a Speech-Language Assistant based in Thayer, MO and is specialized in Speech-Language Assistant. Olivia Russell practices in Thayer, MO. The NPI Number for Olivia Russell is 1154199693 and holds a License No. (Missouri).

The current practice location address for Olivia Russell is 401 E Walnut St, Thayer, MO and can be reached out via phone at 417-264-4600.

Location: 401 E Walnut St, Thayer, MO, 65791-1533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154199693
Provider Name
Olivia Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
401 E Walnut St, Thayer, MO, 65791-1533
Phone Number
417-264-4600
Fax Number
Provider Enumeration Date
12/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 E Walnut St
City
Thayer
State
Missouri
Zip
65791-1533
Phone Number
417-264-4600
Fax Number
person
Provider Business Mailing Address Details
Address
401 E Walnut St
City
Thayer
State
Missouri
Zip
65791-1533
Phone Number
417-264-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
()
Definition
Definition to come...
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