Individual
MRS. KATHRYN LYNNAE BALLWEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
677 E STATE STREET, MOUNT CARMEL, BURLINGTON, WI 53105-1639
(262) 763-9531
Mailing address
677 E STATE STREET, MOUNT CARMEL, BURLINGTON, WI 53105-1639
(262) 763-9531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3522-154
WI
Other
Enumeration date
07/18/2011
Last updated
03/03/2014
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