Individual
KATHERINE ROSE IMIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 EASTERN AVE, RED OAK, IA 51566-1300
(712) 623-7000
Mailing address
2301 EASTERN AVE, RED OAK, IA 51566-1305
(712) 623-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109486
IA
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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