Individual
LAURA WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 E RAWSON AVE STE 317, OAK CREEK, WI 53154-1525
(262) 287-0090
Mailing address
3909 N MURRAY AVE APT 306, MILWAUKEE, WI 53211-2307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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