Individual
CAROL KOOYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
831 SO. LEE AVE., LODI, CA 95240
(209) 747-4304
Mailing address
831 SO. LEE AVE., LODI, CA 95240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP4732
CA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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