Individual
KATELYN GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S HILTON ST, BOISE, ID 83705-1925
(208) 345-4464
Mailing address
25117 SW PARKWAY AVE, SUITE B, WILSONVILLE, OR 97070-9697
(503) 570-3665
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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