Individual
MS. MARISSA ELIZABETH COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
2 PRIVATE ROAD PQQ, MAKANDA, IL 62958-2400
(217) 251-0611
Mailing address
2 PRIVATE ROAD PQQ, MAKANDA, IL 62958-2400
(217) 251-0611
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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