Individual
KIMBERLY HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
101 FALLS RD, SUITE 403, GRAFTON, WI 53024-2612
(414) 559-0050
(262) 421-8681
Mailing address
3452 W COLETTE CT, MEQUON, WI 53092-2309
(901) 413-8719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4216
WI
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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