Individual
MRS. AUBURN LEA ANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6300 67TH ST, KENOSHA, WI 53142-1437
(262) 484-4724
Mailing address
6300 67TH ST, KENOSHA, WI 53142-1437
(262) 865-2829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3606-154
WI
Other
Enumeration date
07/27/2011
Last updated
01/04/2013
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