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Isaac A Southwick
Speech-Language Assistant in Camdenton, Missouri
NPI 1588434096

Isaac A Southwick is a Speech-Language Assistant based in Camdenton, MO and is specialized in Speech-Language Assistant. Isaac A Southwick practices in Camdenton, MO. The NPI Number for Isaac A Southwick is 1588434096 and holds a License No. 2022038148 (Missouri).

The current practice location address for Isaac A Southwick is 172 Dare Blvd, Camdenton, MO and can be reached out via phone at 573-346-9213.

Location: 172 Dare Blvd, Camdenton, MO, 65020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588434096
Provider Name
Isaac A Southwick
Credential
Provider Entity Type
Individual
Gender
Male
Address
172 Dare Blvd, Camdenton, MO, 65020
Phone Number
573-346-9213
Fax Number
Provider Enumeration Date
01/05/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
172 Dare Blvd
City
Camdenton
State
Missouri
Zip
65020-5558
Phone Number
573-346-9213
Fax Number
person
Provider Business Mailing Address Details
Address
172 Dare Blvd
City
Camdenton
State
Missouri
Zip
65020-5558
Phone Number
573-346-9213
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.
2022038148 (Missouri)
Definition
Definition to come...
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