Individual
MRS. JODY KOSANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
217 S HURON ST, CHEBOYGAN, MI 49721-1915
(231) 445-2574
Mailing address
630 BAYVIEW DR, CHEBOYGAN, MI 49721-2230
(231) 445-2574
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003225
MI
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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