Individual
KRISTEN SISKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2927 FISH HATCHERY RD., FITCHBURG, WI 53711
(608) 819-6394
Mailing address
4965 STANBURY CIRCLE NW, MASSILLON, OH 44646
(330) 754-5430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4318-154
WI
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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