Individual
KELLY GOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7902 N 36TH ST, OMAHA, NE 68112-2023
(402) 457-5818
Mailing address
7902 N 36TH ST, OMAHA, NE 68112-2023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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