Individual
DANIELLE KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N RUTLEDGE ST, SPRINGFIELD, IL 62702-3721
(217) 789-0930
Mailing address
1619 CUTTER CT, NORMAL, IL 61761-4818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.003163
IL
Other
Enumeration date
04/21/2015
Last updated
04/30/2024
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