Individual
MS. CAROLYN COYNE MARYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 MINE ST., CITADEL SCHOOL, POTOSI, MO 63664
(573) 438-2472
(573) 436-0361
Mailing address
7709 BELLSTONE RD., ST. LOUIS, MO 63119
(314) 322-7921
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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