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Individual

MRS. KATE WEATHERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA,CCC-SLP

Contact information

Practice address
202 PAINTER ST, GALAX, VA 24333-3830
(276) 236-5154
(276) 236-0699
Mailing address
202 PAINTER ST, GALAX, VA 24333-3830
(276) 236-5641
(276) 236-0699

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002581
VA
235Z00000X
Speech-Language Pathologist
533
NC

Other

Enumeration date
06/17/2016
Last updated
06/17/2016
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