Individual
AINSLEY KATHERINE COTHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
407 LOGAN ST, MONETT, MO 65708-2210
(316) 734-0162
Mailing address
407 LOGAN ST, MONETT, MO 65708-2210
(316) 734-0162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020017309
MO
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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