Individual
MS. KAREN LORENE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1486 W MEQUON RD, MEQUON, WI 53092-3268
(262) 241-8030
Mailing address
10229 N FOXKIRK DR, MEQUON, WI 53097-3623
(262) 242-0984
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
210-154
WI
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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