Individual
KENDA MARAE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC -SLP
Contact information
Practice address
117 STATE ST N, WASECA, MN 56093-2928
(507) 237-6336
Mailing address
117 STATE ST N, WASECA, MN 56093-2928
(507) 237-6336
(507) 218-9736
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8200
MN
Other
Enumeration date
07/11/2007
Last updated
06/26/2024
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