KATHERINE WIDESTROM

CHAMPLIN, MN
NPI1699776252
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MN  7196)
Enumeration Date2005-08-04
Last Update Date2026-05-07
Business Address
-- KATHERINE WIDESTROM
6025 109TH AVE N
CHAMPLIN, MN 55316-3475
Phone number: 763-506-7754
Mailing Address
-- KATHERINE WIDESTROM
6025 109TH AVE N
CHAMPLIN, MN 55316-3475
Phone number: 763-506-7754