Individual
MACY JO ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP-CF
Contact information
Practice address
520 N 28TH AVE STE 200, WAUSAU, WI 54401-4101
(715) 845-4900
(715) 845-4970
Mailing address
520 N 28TH AVE STE 200, WAUSAU, WI 54401-4101
(715) 845-4900
(715) 845-4970
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4543-154
WI
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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