Individual
MISS ROSEANN FASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4655 S HUNTER LN, NEW BERLIN, WI 53151-7484
(414) 412-1759
Mailing address
4655 S HUNTER LN, NEW BERLIN, WI 53151-7484
(414) 412-1759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
547154
WI
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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