Individual
DIANE KELLY COON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7150 GRANITE CIR, TOLEDO, OH 43617-3113
(800) 297-1194
Mailing address
7150 GRANITE CIR, TOLEDO, OH 43617-3113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004157
MI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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