Individual
KATELYN JOY LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 REDWOOD DR, NEW BLOOMFIELD, MO 65063-5417
(573) 491-3700
Mailing address
8501 TANNER BRIDGE RD, JEFFERSON CITY, MO 65101-9620
(573) 418-4991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2021024137
MO
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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