KATELYN MACK

KENOSHA, WI
NPI1417359514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  4014-154)
Enumeration Date2014-09-19
Last Update Date2014-09-19
Business Address
-- KATELYN MACK M.S.
7610 PERSHING BLVD
KENOSHA, WI 53142-4318
Phone number: 262-948-3600
Mailing Address
-- KATELYN MACK M.S.
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number: 262-948-5600
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