Individual
CORINN SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1732 N PROSPECT AVE, #911, MILWAUKEE, WI 53202-1973
(218) 831-6931
Mailing address
1732 N PROSPECT AVE, #911, MILWAUKEE, WI 53202-1973
(218) 831-6931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3107-154
WI
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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