Individual
ALLISON PAIGE KALLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 DAVIDSON RD, BROOKFIELD, WI 53045-6606
(262) 784-4740
Mailing address
2308 DUBAY DR, MOSINEE, WI 54455-9367
(715) 302-0609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3985-154
WI
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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