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Jacob Wade Thomas
Speech-Language Assistant in Lebanon, Missouri
NPI 1972379956

Jacob Wade Thomas is a Speech-Language Assistant based in Plato, MO and is specialized in Speech-Language Assistant. Jacob Wade Thomas practices in Lebanon, MO. The NPI Number for Jacob Wade Thomas is 1972379956 and holds a License No. 2022005065 (Missouri).

The current practice location address for Jacob Wade Thomas is 224 W Commercial St, Lebanon, MO and can be reached out via phone at 417-657-6400.

Location: 224 W Commercial St, Lebanon, MO, 65552-7800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972379956
Provider Name
Jacob Wade Thomas
Credential
Provider Entity Type
Individual
Gender
Male
Address
224 W Commercial St, Lebanon, MO, 65552-7800
Phone Number
417-657-6400
Fax Number
Provider Enumeration Date
11/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
224 W Commercial St
City
Lebanon
State
Missouri
Zip
65536-3146
Phone Number
417-657-6400
Fax Number
person
Provider Business Mailing Address Details
Address
224 W Commercial St
City
Lebanon
State
Missouri
Zip
65536-3146
Phone Number
417-657-6400
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.
2022005065 (Missouri)
Definition
Definition to come...
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