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Individual

KATELYN D CLUBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
12446 E HAMSHIRE RD, HAMSHIRE, TX 77622-9438
(409) 291-2154
Mailing address
12446 E HAMSHIRE RD, HAMSHIRE, TX 77622-9438

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary

Other

Enumeration date
02/20/2018
Last updated
02/20/2018
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