Individual
JEANINE M COGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
12325 E GRACE AVE, SPOKANE VALLEY, WA 99216-1151
(509) 241-5525
Mailing address
PO BOX 701, OTIS ORCHARDS, WA 99027-0701
(509) 999-8429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60324558
WA
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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