Individual
KIM MARY CORRIGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
107 W 5TH ST, MARSHFIELD, WI 54449-2819
(715) 498-4344
Mailing address
107 W 5TH ST, MARSHFIELD, WI 54449-2819
(715) 498-4344
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3235-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629204458
—
WI
Enumeration date
06/08/2009
Last updated
04/23/2017
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