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Individual

MRS. CECILIA MARY KOHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
2630 ROYAL OAKS DRIVE, ALAMO, CA 94507
(925) 285-1397
(925) 743-1971
Mailing address
2630 ROYAL OAKS DR, ALAMO, CA 94507-2247
(925) 285-1397
(925) 743-1971

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 4712
CA

Other

Enumeration date
07/26/2010
Last updated
07/26/2010
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