MRS. Kristi K Bourisaw, MA CCC-SLP/L

NPI #1235314675 in Columbia, Illinois

Provider Information

NPI Number
1235314675
Entity Type
Individual
Name
MRS. Kristi K Bourisaw, MA CCC-SLP/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MA CCC-SLP/L
Enumeration Date
Jan 3, 2008
Last Updated
Jan 3, 2008

Practice Location

Address
2627 LAKESHORE DR
ZIP Code
62236-2657
Phone
(636) 565-4112

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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