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Individual

KATHARINE GREGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2006 EDITH AVE, FORT WAYNE, IN 46808-2288
(260) 609-1976
Mailing address
2006 EDITH AVE, FORT WAYNE, IN 46808-2288
(260) 609-1976

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2200637A
IN

Other

Enumeration date
02/26/2019
Last updated
02/26/2019
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