Individual
MRS. KATLYN ANTONIA ENGEBRETSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4626
(712) 396-4317
Mailing address
8513 S 46TH ST, OMAHA, NE 68157-2619
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
002327
NE
Other
Enumeration date
08/14/2013
Last updated
10/04/2016
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