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1457588691
KATHLEEN R. WOLLAM
CRESCENT CITY, CA
NPI
1457588691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 11534)
Enumeration Date
2009-06-15
Last Update Date
2019-10-21
Business Address
Mrs. KATHLEEN R. WOLLAM M.A., SLP
1080 MASON MALL STE 6B
CRESCENT CITY, CA 95531-4335
Phone number: 707-954-8631
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Mailing Address
Mrs. KATHLEEN R. WOLLAM M.A., SLP
PO BOX 292
FORT DICK, CA 95538-0292
Phone number: 707-954-8631
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