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TRACY KLOSTERMAN M.A., CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1912300559

Individual Registrant:
 TRACY  KLOSTERMAN M.A., CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
310 N 2ND ST  COLDWATER, OH 45828-1242 US
Tel: 419-678-2613  Fax: --

Contact information for business:
15086 STATE ROUTE 116  SAINT MARYS, OH 45885-9223 US
Tel: 419-394-5276  Fax: --

Registration Information:
NPI: 1912300559
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
OHSP10096

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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