Individual
SHELLEY BORGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
2231 US HIGHWAY 12, BALDWIN, WI 54002-3269
(800) 359-0174
Mailing address
836 COUNTY ROAD D, WOODVILLE, WI 54028-7114
(715) 698-2919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1842154
WI
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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