Individual
MISS ANGELA COTHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1077 DYLAN CT, MCKINLEYVILLE, CA 95519-9368
(307) 760-3261
Mailing address
1077 DYLAN CT, MCKINLEYVILLE, CA 95519-9368
(307) 760-3261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20337
CA
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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