Individual
MARY KATHERINE SODERSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
54 SGT PRENTISS DR, NATCHEZ, MS 39120
(601) 443-2100
Mailing address
54 SGT PRENTISS DR, NATCHEZ, MS 39120-4726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13449
NC
Other
Enumeration date
04/15/2019
Last updated
06/03/2019
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