Individual
KELSEY MARY ANN LOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 124TH AVE NW, COON RAPIDS, MN 55433-4572
(320) 444-4591
Mailing address
3111 124TH AVE NW, COON RAPIDS, MN 55433-4572
(320) 444-4591
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
092857
IA
Other
Enumeration date
08/14/2018
Last updated
04/06/2020
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