KATHERINE WIDESTROM

EDINA, MN
NPI1699776252
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MN  7196)
Enumeration Date2005-08-04
Last Update Date2010-03-18
Business Address
-- KATHERINE WIDESTROM
4010 W 65TH ST SUITE 105
EDINA, MN 55435-1721
Phone number: 952-285-2840
Mailing Address
-- KATHERINE WIDESTROM
5531 PONY AVENUE NORTH
CRYSTAL, MN 55429
Phone number: 763-535-9498
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