Individual
EMILY MARIE KOESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5837 PARK DRIVE, CHARLESTON, IL 61920-6192
(217) 348-7700
Mailing address
5837 PARK DR, CHARLESTON, IL 61920-9465
(217) 348-7700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242004929
IL
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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