Individual
ROSEMARY STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.CCC.SLP
Contact information
Practice address
1525 CREEKSIDE LN, GREEN BAY, WI 54311-7351
(920) 469-1043
Mailing address
1525 CREEKSIDE LN, GREEN BAY, WI 54311-7351
(920) 469-1043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
593-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42727400
—
WI
Enumeration date
05/05/2008
Last updated
05/05/2008
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