Individual
MS. CHRISTINE ELLEN FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(414) 615-0665
Mailing address
840 FOX TAIL LN, GRAFTON, WI 53024-9599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
374-154
WI
Other
Enumeration date
08/13/2007
Last updated
08/23/2007
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