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Individual
MRS. GWEN ELLEN ORHEIM
Active
Individual
MRS. GWEN ELLEN ORHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1491-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01109878
ASHA
WI
01
—
1491-154
STATE LICENSURE
WI
05
—
425-886-00
—
WI
Enumeration date
11/20/2006
Last updated
11/14/2007
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