Individual
KATHARINE CUSTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2109 CEDARWOOD DR STE 200, MUSCATINE, IA 52761-2670
(563) 263-0557
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IA
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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