Individual
MRS. CYNTHIA JUNE COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
230 REEDWAY LN, KIRKWOOD, MO 63122-2614
(314) 471-4959
Mailing address
230 REEDWAY LN, KIRKWOOD, MO 63122-2614
(314) 471-4959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004006662
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004006662
STATE OF MISSOURI LICENSE NO.
MO
Enumeration date
12/12/2012
Last updated
12/12/2012
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