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Individual

MRS. KATHERINE ROSE GUDIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
365 W 1550 N STE H, LAYTON, UT 84041-2279
(801) 618-7903
Mailing address
365 W 1550 N STE H, LAYTON, UT 84041-2279

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11780306-4102
UT
235Z00000X
Speech-Language Pathologist
SLP009303
GA

Other

Enumeration date
08/06/2015
Last updated
04/26/2021
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