Individual
BETH ELLEN KROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 WABASH AVE, SUITE 200, MARION, IN 46952
(765) 651-3229
Mailing address
1800 WABASH AVE, SUITE 200, MARION, IN 46952
(765) 651-3229
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004875A
IN
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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