Individual
KATHRYN A TIGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 80TH ST, KENOSHA, WI 53142-4946
(262) 764-4075
Mailing address
1276 ARBOR AVE, HIGHLAND PARK, IL 60035-2902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5242154
WI
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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