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1316095649
KRISTEN K PETERSEN
KENOSHA, WI
NPI
1316095649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: WI 2668-154)
Enumeration Date
2007-01-05
Last Update Date
2007-07-09
Business Address
KRISTEN K PETERSEN SLP
5219 88TH AVE
KENOSHA, WI 53144-7468
Phone number: 262-653-0850
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Mailing Address
KRISTEN K PETERSEN SLP
31531 BEAR ARBOR DR 208
BURLINGTON, WI 53105-7200
Phone number: 262-653-0850
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