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Individual

KATIE SUE-CONLON BAUGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
800 PRAIRIE CENTER DR STE 230, EDEN PRAIRIE, MN 55344-7308
(952) 944-5314
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107445
MN
225X00000X
Occupational Therapist
5201009831
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5201009831
LARA
MI
Enumeration date
03/03/2018
Last updated
08/12/2025
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