Individual
KATHRYN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
1622 SUGAR PINE DR, JASPER, IN 47546-2202
(812) 481-1703
Mailing address
1622 SUGAR PINE DR, JASPER, IN 47546-2202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004619A
IN
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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