Individual
KATHERINE DEPORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 DIANE LANE, SUITE 4, STONEWALL, LA 71078-7107
(219) 771-6161
Mailing address
200 DONNA LN, STONEWALL, LA 71078-9622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
LA
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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