Individual
MISS ILANA DANIELLE COFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
US HWY 158 BUSINESS W, WARRENTON, NC 27589
(252) 257-2011
Mailing address
US HWY 158 BUSINESS W, BOX 618, WARRENTON, NC 27589
(252) 257-2011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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