Individual
MRS. KAITLYN SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 MOUNT PLEASANT ST, RACINE, WI 53404-1511
(262) 631-7127
Mailing address
2551 S HOWELL AVE, MILWAUKEE, WI 53207-1604
(224) 200-6323
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6809154
WI
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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