Individual
COLLEEN MATHIA GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2700 W 47TH TER, WESTWOOD, KS 66205-1605
(816) 213-1417
Mailing address
2700 W 47TH TER, WESTWOOD, KS 66205-1605
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-17081
KS
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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