Individual
KAILA LAUREN STIPANCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 N BLAIR ST, APT #5, MADISON, WI 53703-2463
(608) 263-6190
Mailing address
20 N BLAIR ST, APT #5, MADISON, WI 53703-2463
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4160-154
WI
Other
Enumeration date
07/21/2015
Last updated
03/17/2017
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