Individual
KATHERINE MICHELLE IVERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
343 PRADO WAY, GREENVILLE, SC 29607-6512
(864) 270-8647
Mailing address
153 CIVIC CENTER BLVD APT 355, ANDERSON, SC 29625-1756
(703) 283-0618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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