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Individual

MARY KATHRYN GOWDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CNS, LDN, CHHP

Contact information

Practice address
850 GALEN DR, STATE COLLEGE, PA 16803-1164
(814) 777-8919
Mailing address
850 GALEN DR, STATE COLLEGE, PA 16803-1164
(814) 777-8919

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DN007234
PA
133NN1002X
Nutrition Education Nutritionist
DN007234
PA

Other

Enumeration date
02/16/2021
Last updated
02/16/2021
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