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Individual

MRS. CARRIE LARIE COUGHENOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., CCC/SLP

Contact information

Practice address
776 CAPON ST, STRASBURG, VA 22657-1175
(540) 465-5003
Mailing address
776 CAPON ST, STRASBURG, VA 22657-1175
(540) 465-5003

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006107
VA

Other

Enumeration date
03/30/2012
Last updated
03/30/2012
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