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Individual
KRISTIN LYNNE GORTON
Active
Individual
KRISTIN LYNNE GORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1964-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42776400
—
WI
Enumeration date
04/08/2008
Last updated
01/29/2010
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