Individual
MARY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 SUPERIOR CT, MEDFORD, OR 97504-6181
(541) 494-7800
Mailing address
278 CADBURY DR, RED LION, PA 17356-8468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17504
OR
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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