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Amy R Augustine

Speech-Language Pathologist, in Cape Girardeau, MO. Individual provider (NPI-1).

NPI number1700256641
StatusActive
Last updated in NPPESOct 5, 2015

Details

NPI
1700256641
Entity type
Individual (NPI-1)
Name
Amy R Augustine
Sex
Female
Sole proprietor
No
Enumeration date
Oct 5, 2015
Last updated
Oct 5, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,2015028032MOYes

Practice location

301 N Clark St
Cape Girardeau, MO 63701-5105

Phone 573-335-1867 · Fax 573-334-2817

Mailing address

301 N Clark St
Cape Girardeau, MO 63701-5105

Phone 573-335-1867 · Fax 573-334-2817

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