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Individual

MRS. COLLEEN MARIE HARBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.CCC-SLP

Contact information

Practice address
2 HARBOR BEND CT, SUITE 102, LAKE ST LOUIS, MO 63367-1478
(636) 695-2070
Mailing address
565 VOSSHILL DR, BALLWIN, MO 63021-6237
(314) 803-1674

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003009191
MO

Other

Enumeration date
09/07/2016
Last updated
09/07/2016
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