Individual
MRS. KASI M. GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE, CCC-SLP
Contact information
Practice address
204 W WARREN ST, ROBERTS, WI 54023-9617
(715) 749-3890
(715) 749-4081
Mailing address
204 W WARREN ST, P.O. BOX 220, ROBERTS, WI 54023-9617
(715) 749-3890
(715) 749-4081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2966-154
WI
Other
Enumeration date
08/05/2007
Last updated
12/18/2008
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