Individual
KYLE SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 E OAK ST, GLENWOOD CITY, WI 54013-8520
(715) 265-4325
Mailing address
2510 W PRINCETON AVE, EAU CLAIRE, WI 54703-3784
(715) 379-6323
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4153-154
WI
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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