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1871767442
LISA MARIE CONKLYN
KENOSHA, WI
NPI
1871767442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WI 2382-154)
Enumeration Date
2008-04-15
Last Update Date
2008-04-15
Business Address
Mrs. LISA MARIE CONKLYN MS, CCC-SLP
5722 35TH AVE
KENOSHA, WI 53144-4124
Phone number: 262-652-6486
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Mailing Address
Mrs. LISA MARIE CONKLYN MS, CCC-SLP
5722 35TH AVE
KENOSHA, WI 53144-4124
Phone number: 262-652-6486
Copy
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