Individual
KARA KLC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
209 W 300 N, LOGAN, UT 84321-3809
(435) 716-8535
Mailing address
760 N 200 W, LOGAN, UT 84321-3207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9826095-4102
UT
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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