Individual
MRS. KORTNEE PAIGE MOORE WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
N328 3RD AVE, PORTAGE, WI 53901-9314
(608) 434-1679
Mailing address
N328 3RD AVE, PORTAGE, WI 53901-9314
(608) 434-1679
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3361-154
WI
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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