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Individual

MRS. ANDREA ANDERSON KOSCIULEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
861439 N HAMPTON CLUB WAY, FERNANDINA BEACH, FL 32034-8705
(904) 548-0641
Mailing address
861439 N HAMPTON CLUB WAY, FERNANDINA BEACH, FL 32034-8705
(904) 548-0641

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9498
FL

Other

Enumeration date
07/23/2009
Last updated
07/23/2009
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