Individual
MRS. ALAINA COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21206 N MAIN ST, LAURA, IL 61451-9771
(309) 265-2915
Mailing address
21206 N MAIN ST, LAURA, IL 61451-9771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242004562
IL
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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