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Individual

MRS. ALLISON COSAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 573-1037
Mailing address
3042 W BIRDSONG DR, GREENFIELD, IN 46140-9299

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005066A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22005066A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
12/08/2016
Last updated
12/08/2016
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