Individual
KATHLEEN MASSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 WALNUT ST, NORTH BEND, NE 68649-5012
(402) 216-0315
Mailing address
1120 WALNUT ST, NORTH BEND, NE 68649-5012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1051
NE
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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