Individual
KATHLEEN HATKE BUBOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3799
(612) 863-4000
Mailing address
2949 4TH ST SE UNIT 123, MINNEAPOLIS, MN 55414-3883
(636) 577-3073
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10269
MN
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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