Individual
KATHERINE MACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 E MAIN ST, LEIPSIC, OH 45856-9326
(419) 943-2103
Mailing address
717 E 2ND ST, OTTAWA, OH 45875-2001
(419) 979-8071
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12087
OH
Other
Enumeration date
05/04/2019
Last updated
05/04/2019
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