Individual
MRS. MYCHAEL BETH COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
867 MCGUIRE AVE, PADUCAH, KY 42001-4036
(270) 442-6168
Mailing address
867 MCGUIRE AVE, PADUCAH, KY 42001-4036
(270) 442-6168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-09-078
KY
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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