Individual
RACHELLE MARIE POLLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC
Contact information
Practice address
960 S RAPIDS RD, MANITOWOC, WI 54220-4146
(920) 684-1144
Mailing address
3414 LINDBERGH DR, MANITOWOC, WI 54220-3636
(608) 225-8190
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30029-154
WI
Other
Enumeration date
11/10/2008
Last updated
04/23/2015
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