Individual
KRISTIN WEITZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3885 DORADO DR, JANESVILLE, WI 53546-3545
(608) 295-8633
Mailing address
3885 DORADO DR, JANESVILLE, WI 53546-3545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1001226908
WI
Other
Enumeration date
09/17/2016
Last updated
09/17/2016
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