Individual
KATIE LEIGH THRELKELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N KEENE ST STE 101, COLUMBIA, MO 65201-6967
(573) 882-7350
Mailing address
525 N KEENE ST STE 101, COLUMBIA, MO 65201-6967
(573) 882-7350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014021035
MO
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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