Individual
TAMARA KOETTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S WASHINGTON ST, LA MONTE, MO 65337-1183
(660) 347-5439
(660) 347-5467
Mailing address
301 S WASHINGTON ST, LA MONTE, MO 65337-1183
(660) 347-5439
(660) 347-5467
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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