Individual
KATHERINE ANNE EKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-SLP
Contact information
Practice address
7540 N 19TH AVE, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
PO BOX 364, WINOOSKI, VT 05404-0364
(508) 415-3441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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