Individual
KATRINA WILKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 MIRCOS ST, ERIE, CO 80516-5408
(402) 659-5318
Mailing address
1145 MIRCOS ST, ERIE, CO 80516-5408
(402) 659-5318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0002576
CO
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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