AMI BOUTERSE

KENOSHA, WI
NPI1932892171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: WI  6206-154)
Enumeration Date2023-06-02
Last Update Date2023-06-02
Business Address
AMI BOUTERSE
4235 GREEN BAY RD
KENOSHA, WI 53144-4516
Phone number: 262-652-1418
Mailing Address
AMI BOUTERSE
10319 81ST ST
PLEASANT PRAIRIE, WI 53158-2028
Phone number: 262-818-3563
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