Organization
WASECA INTEGRATED THERAPY HUB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDA DOUGHERTY MA, CCC-SLP (OWNER)
(612) 986-2908
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/27/2019
Last updated
06/26/2024
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