Individual
MRS. CYNTHIA CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2895 S MOORLAND RD, NEW BERLIN, WI 53151-3743
(262) 782-9015
Mailing address
W151N7968 HILLTOP DR, MENOMONEE FALLS, WI 53051-4249
(262) 250-1713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
180-026
WI
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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