Individual
MRS. KIRSTEN LEIGH DE STEFFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA/CCC-SLP
Contact information
Practice address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 653-2954
Mailing address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 653-2954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
103962
TX
235Z00000X
Speech-Language Pathologist
Primary
2631-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42566200
—
WI
Enumeration date
05/06/2008
Last updated
05/06/2008
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