Individual
KATELYN MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 ICE BLUE RD, BOZEMAN, MT 59718-9422
(252) 202-0078
Mailing address
169 ICE BLUE RD, BOZEMAN, MT 59718-9422
(252) 202-0078
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-8776
MT
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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