Individual
KATHARYN HESELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 CRAWFORD ST, KELSO, WA 98626-4315
(360) 501-1900
Mailing address
2700 ALLEN ST APT C103, KELSO, WA 98626-5486
(406) 212-5602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61198666
WA
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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