Organization
KEWASKUM SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE BURGARD (DIRECTOR OF PUPIL SERVICES)
(262) 626-8427
Entity
Organization
Contact information
Practice address
1676 REIGLE DR STE 100, KEWASKUM, WI 53040-8923
(262) 626-8427
(262) 626-2961
Mailing address
PO BOX 37, KEWASKUM, WI 53040-0037
(262) 626-8427
(262) 626-2961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44214100
—
WI
Enumeration date
08/13/2007
Last updated
08/20/2008
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