Individual
TAMARA COULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2200 IRONWOOD PL, COEUR D ALENE, ID 83814-2610
(298) 667-6486
Mailing address
24324 E 1ST AVE, LIBERTY LAKE, WA 99019-9628
(509) 255-5297
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1241
ID
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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