Individual
JULIE ANNE WEAKLEY KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2541 FAIRLANE DR, CAPE GIRARDEAU, MO 63701-3616
(573) 334-6343
Mailing address
2541 FAIRLANE DRIVE, CAPE GIRARDEAU, MO 63701
(573) 334-6343
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003004244
MO
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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