Individual
KATHRYN PFAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
309 2ND ST E, BOTTINEAU, ND 58318-1104
(701) 228-3743
Mailing address
309 2ND ST E, BOTTINEAU, ND 58318-1104
(701) 228-3743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1644
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
ND
Enumeration date
09/10/2018
Last updated
10/01/2024
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