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Individual

DANIEL DOUGLAS MCCOOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
SCHOOL DIST R 3 SPARTA, 113 DIVISION, SPARTA, MO 65753-0160
(417) 634-3223
(417) 634-3156
Mailing address
PO BOX 160, 113 DIVISION, SPARTA, MO 65753-0160
(417) 634-3223
(417) 634-3156

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004008771
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
467564506
MO
Enumeration date
04/19/2007
Last updated
02/20/2009
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