Individual
MRS. MARY KATHERINE EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
5729 POMMEL CT, WEST DES MOINES, IA 50266-6356
(515) 221-9419
Mailing address
5729 POMMEL CT, WEST DES MOINES, IA 50266-6356
(515) 221-9419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01433
IA
Other
Enumeration date
08/29/2009
Last updated
08/29/2009
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