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Individual
MRS. KAIA FEGGESTAD
Active
Individual
MRS. KAIA FEGGESTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3586
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093096190
—
WI
01
—
146011981
STATE LICENSE
IL
Enumeration date
09/01/2011
Last updated
07/02/2020
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