CASEY JO AMBORT

PORTAGE, WI
NPI1639328867
Former NameCASEY JO PETERSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2008-09-11
Last Update Date2010-07-09
Business Address
Mrs. CASEY JO AMBORT M.S.
626 EAST SLIFER ST
PORTAGE, WI 53901
Phone number: 608-742-8814
Mailing Address
Mrs. CASEY JO AMBORT M.S.
P.O. BOX 564 626 EAST SLIFER ST
PORTAGE, WI 53901
Phone number: 608-742-8814
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