Individual
CAROLYN M MCILWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(620) 252-1505
Mailing address
710 KEITH BLVD, COFFEYVILLE, KS 67337-1024
(918) 766-5411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1261
KS
Other
Enumeration date
03/14/2008
Last updated
05/27/2011
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