Individual
MRS. PATIENCE MARIE COSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1504 MADISON AVE, FORT ATKINSON, WI 53538
(920) 563-9357
(920) 568-6545
Mailing address
426 MCMILLEN ST, FORT ATKINSON, WI 53538-1996
(920) 563-9537
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2893-154
WI
Other
Enumeration date
10/08/2008
Last updated
07/07/2010
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