Individual
KELSEY COALDRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2570 106TH ST STE E, URBANDALE, IA 50322
(515) 419-4270
Mailing address
2826 147TH ST, URBANDALE, IA 50323-2077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
08/21/2018
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