Katherine Widestrom

NPI #1699776252 in Edina, Minnesota

Provider Information

NPI Number
1699776252
Entity Type
Individual
Name
Katherine Widestrom
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Aug 4, 2005
Last Updated
Mar 18, 2010

Practice Location

Address
4010 W 65TH ST
Address 2
SUITE 105
City
Edina
ZIP Code
55435-1721
Phone
(952) 285-2840

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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