Individual
NICOLE MARIE TONKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
126 N PAYNE ST, PACIFIC, MO 63069-1260
(314) 718-1997
Mailing address
126 N PAYNE ST, PACIFIC, MO 63069-1260
(314) 718-1997
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021028461
MO
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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