Individual
MRS. MEGAN MARIE RISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 336-5680
Mailing address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 336-5680
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2409-154
WI
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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