Individual
MISS CHERRYL L. CORSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
1323 CRESTON PARK DR., JANESVILLE, WI 53545
(608) 756-9440
Mailing address
634 W. RACINE ST., JEFFERSON, WI 53549
(920) 650-0695
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2145-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145-154
STATE OF WISCONSIN SLP
WI
Enumeration date
10/03/2006
Last updated
07/08/2007
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