Individual
KATHLEEN LYNN GLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
2810 2ND AVE N, MOORHEAD, MN 56560
(218) 233-0361
(218) 233-8307
Mailing address
754 246TH ST S, HAWLEY, MN 56549-9645
(218) 483-3057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
588
ND
235Z00000X
Speech-Language Pathologist
Primary
7029
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51411
—
ND
Enumeration date
02/12/2007
Last updated
07/09/2007
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