Individual
CORRINE LYNETTE KOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
300 S GRANITE ST, PRESCOTT, AZ 86303-4253
(928) 717-3241
Mailing address
918 S MANZANITA AVE, PRESCOTT, AZ 86303-5139
(928) 925-4818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0027
AZ
235Z00000X
Speech-Language Pathologist
17180
CA
235Z00000X
Speech-Language Pathologist
6521
SC
235Z00000X
Speech-Language Pathologist
LL60105823
WA
Other
Enumeration date
05/10/2007
Last updated
01/02/2025
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