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Individual

KATRINA HURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
130 COLONIAL AVE, EVANSTON, WY 82930-3045
(801) 712-0145
Mailing address
130 COLONIAL AVE, EVANSTON, WY 82930-3045

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1047
WY

Other

Enumeration date
10/23/2019
Last updated
10/23/2019
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