Individual
COLETTE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 N EAST ST, PICKERINGTON, OH 43147-1170
(614) 833-2112
Mailing address
955 LIBERTY DR, LANCASTER, OH 43130-8045
(740) 653-3193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4419
OH
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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