Individual
MISS KAITLYN LEE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11808 GRANT ST FL 100, OMAHA, NE 68164-3616
(405) 334-1375
Mailing address
3023 S FOX LEDGE DR, STILLWATER, OK 74074-1708
(405) 334-1375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP.0000280
CO
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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