Individual
KATHLEEN IRENE BROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5778 CHAPIN ST, FLORENCE, WI 54121-9443
(715) 528-4833
Mailing address
5001 STATESMAN DR, IRVING, TX 75063-2414
(877) 840-5157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15670
CA
235Z00000X
Speech-Language Pathologist
Primary
1834-154
WI
235Z00000X
Speech-Language Pathologist
LL00003739
WA
Other
Enumeration date
06/20/2012
Last updated
10/11/2013
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