Individual
MRS. KATY MARIE CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC,SLP
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 939-0396
(952) 548-8760
Mailing address
11330 CHISHOLM CIR NE, UNIT C, BLAINE, MN 55449-4561
(763) 783-3666
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7746
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7746
—
MN
Enumeration date
11/27/2006
Last updated
07/08/2007
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