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Individual

COURTNEY COLLEEN MCMULLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
860 N. COURT AVE, BURNS, OR 97720
(541) 589-0273
Mailing address
860 N. COURT AVE, BURNS, OR 97720
(541) 589-0273

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015023
OR

Other

Enumeration date
02/19/2020
Last updated
02/19/2020
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