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Individual

JOYCE A COULSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
NORTHWESTERN R-I SCHOOLS, 18475 HIGHWAY 11, MENDON, MO 64660-0043
(660) 272-3201
(660) 272-3419
Mailing address
PO BOX 43, 18475 HIGHWAY 11, MENDON, MO 64660-0043
(660) 272-3201
(660) 272-3419

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105019
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
467644217
MO
Enumeration date
03/21/2007
Last updated
02/20/2009
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