Individual
MISS DEANNA MARIE FUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 298-6759
Mailing address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2863154
WI
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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