Individual
ELIZABETH MICHELE KOELSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
427 BURNS AVE, LAKE WALES, FL 33853-3314
(863) 679-3338
Mailing address
1689 SANIBEL DR, DAVENPORT, FL 33896-5659
(954) 253-9684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA19333
FL
Other
Enumeration date
09/13/2021
Last updated
08/30/2022
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