Individual
MS. ANGELA KONGSHAUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4102 WASHINGTON RD, APT. 110, KENOSHA, WI 53144-1522
(262) 497-2067
Mailing address
4102 WASHINGTON RD, APT. 110, KENOSHA, WI 53144-1522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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