Individual
KATHERINE BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
721 COMMERCE DR, WOODBURY, MN 55125
(612) 767-7222
Mailing address
721 COMMERCE DR, WOODBURY, MN 55125
(612) 767-7222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4542
WI
Other
Enumeration date
08/31/2016
Last updated
12/19/2018
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