Individual
MS. CATHY J (WILSON) PETTIBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
400 N MORRIS ST, STOUGHTON, WI 53589-1857
(608) 873-5651
Mailing address
8006 N JOHN PAUL RD, MILTON, WI 53563-9259
(608) 206-5831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2197-154
WI
Other
Enumeration date
06/28/2015
Last updated
06/28/2015
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