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Individual

KAYLEIGH DALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
2516 S 134TH ST, NEW BERLIN, WI 53151-3114
(414) 530-3372
Mailing address
2516 S 134TH ST, NEW BERLIN, WI 53151-3114
(414) 530-3372

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4301
WI
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700332244
WI
Enumeration date
08/25/2016
Last updated
03/22/2021
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