Individual
ABIGAIL SARAH MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 CHICAGO ST, GREEN BAY, WI 54301-3803
(208) 380-0163
Mailing address
1114 CHICAGO ST, GREEN BAY, WI 54301-3803
(208) 380-0163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4041-154
WI
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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