Individual
KAREN CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 MEAD AVE, SHEBOYGAN, WI 53081-6140
(920) 458-8333
Mailing address
1042 FALLS PARC DR APT 9, SHEBOYGAN FALLS, WI 53085-3369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1682-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42767700
—
WI
Enumeration date
05/04/2007
Last updated
07/08/2007
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