Individual
MRS. RENETTA MISCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2656 COFFEEN AVE, SHERIDAN, WY 82801-6205
(307) 672-5204
Mailing address
2656 COFFEEN AVE, SHERIDAN, WY 82801-6205
(307) 672-5204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-466
WY
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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